| NPI | 1225378623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA THARP Deputy Executive Director 580-319-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 100728830) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2020-05-20 |