| NPI | 1376254755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN FARRELL CEO 405-353-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2025-01-22 |