| NPI | 1396927497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE L HAMIL CEO 405-573-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2019-08-11 |