NPI | 1356463780 |
---|---|
Other Name | NADTC |
Entity Type | Organization |
Authorized Contact | WYNEMA RA Executive Director 405-573-8235 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK EXEMPT) |
Enumeration Date | 2007-04-05 |
Last Update Date | 2020-08-22 |