| NPI | 1215347943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL JEAN WILLIAMS Owner 405-209-1470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1099) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2014-05-02 |