| NPI | 1215050893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEHDINGA NUKUNA CEO 405-525-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 200065180) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |