| NPI | 1215357660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN D. JORDAN CEO/Owner 405-605-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 490) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |