NPI | 1497156178 |
---|---|
Entity Type | Organization |
Authorized Contact | RAQUEL D COLBERT-DAWSON Executive Director 918-378-9039 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5309) |
Enumeration Date | 2014-09-11 |
Last Update Date | 2024-07-11 |