| NPI | 1326202003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA JANE WILLIS Personnel & Compliance Officer 405-858-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2018-04-12 |