| NPI | 1346642154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MATHISON Owner 405-820-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3315) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2014-09-23 |