| NPI | 1417105057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNN BARTLEY Director 580-234-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3576) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-12-01 |