| NPI | 1184029209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BOTTROFF President 405-948-7767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 866) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |