| NPI | 1326294554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMYE JOANN WILLIAMS Substance Abuse Counselor 918-682-7210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 324500000X) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |