| NPI | 1386081727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALLENSWORTH Manager 405-610-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2013-05-24 |