| NPI | 1467570101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE L SHAW Executive Director 405-341-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |