| NPI | 1235001264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT THOMAS GILMORE Owner/Administrator/Provider 405-274-3272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-11-15 |