| NPI | 1477983609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY M HOUSTON Case Manager 405-601-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK J083178277) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-11-26 |