| NPI | 1215353016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYNIS DANIEL President 580-584-2478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3881) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |