| NPI | 1295014165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA O. RYAN President 405-706-5032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4210) |
| Enumeration Date | 2011-08-10 |
| Last Update Date | 2011-08-10 |