| NPI | 1356787444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE L. DANIELSON Associate Director Behavioral Healt 918-207-4977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |