| NPI | 1235458571 |
|---|---|
| Doing Business As | LATONYA WILSON |
| Entity Type | Organization |
| Authorized Contact | LATONYA ANNETTE WILSON Owner 405-822-9231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OK 3245S0500X) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |