| NPI | 1457501702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE RACHELLE DAVIS Chief Executive Officer 918-858-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1177) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OK 1549) |
| 251S00000X Community/Behavioral Health (Licence: OK 3545) | |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2024-04-22 |