| NPI | 1265683049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON Chief Executive Officer 918-289-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM N/A) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2024-06-26 |