| NPI | 1174245492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NAUGLE Owner 405-633-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-14 |