| NPI | 1205111242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELENA MELANESE PARKS CEO/Owner 405-431-0232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |