| NPI | 1326393554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OREON ODELL LEBLANC Rehabilitation Specialist 918-815-1371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |