| NPI | 1366689713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EDWARD YOSTEN Licensed Practical Counselor 918-293-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 62) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 62) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 1750) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2011-02-01 |