NPI | 1447657929 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES MICHAEL KISSICK Director 405-340-0085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4707) |
Enumeration Date | 2014-11-26 |
Last Update Date | 2014-11-26 |