| NPI | 1316142722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEE BRUCE Owner 918-782-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: OK RC1808-1808) |
| Enumeration Date | 2007-06-16 |
| Last Update Date | 2020-08-22 |