| NPI | 1295092575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH GRAY Director/Owner 405-605-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK m082101416) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK m082101416) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |