| NPI | 1477898120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD COOPER President 918-633-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 802) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |