| 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 |