| NPI | 1265770119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARION SYKES Program Director 405-601-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4576) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |