| NPI | 1467746560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSANNE JILL NARDONI ISOM Counsler 405-703-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3512256863) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2014-07-17 |