| NPI | 1194438473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY LEE HAYES Manager Of Operations 918-772-7499 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 101YM0800X Counselor Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QR0800X Clinic/Center Recovery Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2025-05-28 |