| NPI | 1194202143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE CUTSHALL Owner 405-697-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 6656) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |