| NPI | 1366805533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE LEUNG Director Of Lifetime Support Servic 918-748-5603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |