| NPI | 1255787123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL J ROBINSON Executive Director 405-702-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: G082239439) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |