| NPI | 1417288424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CARTER Director 918-335-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 86953) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2010-01-15 |