| NPI | 1205010915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRINNA L.W. BURROWS President/Owner 918-743-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1304) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |