| NPI | 1265518203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANETTA MAHTAPENE Health Director 405-964-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QR0200X Clinic/Center, Radiology | |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2011-11-02 |