| NPI | 1356515308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ALAN RAO Owner/Operator 918-747-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 24115) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |