| NPI | 1346521549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA RUTH ROWE Clinician 918-814-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OK 3890) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |