| NPI | 1265669667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI MYERS CEO 918-259-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: OK NH7257-7257) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |