| NPI | 1235413857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNI LOUISE OPPERMAN CEO 918-916-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2366) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-10-11 |