| NPI | 1457517872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG SNEED Excutive Director 918-832-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2016-03-03 |