| NPI | 1295174480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADINAH GROOMS Office Manager 405-879-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |