| NPI | 1215308937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL BAGWELL Executive Director 405-743-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |