| NPI | 1336203132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BRIAN JOHNSON MIS Director 918-682-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-04-01 |