| NPI | 1326136722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E ASHLEY Program Director 918-542-1786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: OK CERTIFICATION) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |