| NPI | 1407438930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE MEASHINTUBBY President/Clinical Director 918-470-4260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2021-04-23 |