| NPI | 1295188068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALON ANN WILKINSON Administrative Director 405-810-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |