NPI | 1366568602 |
---|---|
Entity Type | Organization |
Authorized Contact | MAE ANN SHEPHERD Clinical Program Director 918-587-3888 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2641) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2020-08-22 |