| NPI | 1285966747 |
|---|---|
| Doing Business As | CHARLES CAVETT PHD, PSYD |
| Entity Type | Organization |
| Authorized Contact | CHARLES LYNN CAVETT Owner 405-601-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK 4095) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |