| NPI | 1417785890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMINDEEP LAIL Director 405-476-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |