| NPI | 1487013801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C. MITCHELL Clinical Director 405-285-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5198) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-13 |