| NPI | 1225030695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SACHAU CEO 918-749-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK K8500187) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK K8500188) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK K8500186) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2020-08-22 |