| NPI | 1306243233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BYERS President 479-629-1521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5110) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2016-01-06 |