| NPI | 1245516905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBY ALINE RILEY Owner 918-297-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2158) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |