| NPI | 1275142663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN JENKINS Chief Clinical Services Officer 918-991-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |