| NPI | 1245450444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN SOUTH Facility Director 405-262-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK k850000246) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2008-06-20 |