| NPI | 1417399445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN WILLIAMS Ownder 580-326-5279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK 42999) |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2013-07-18 |