| NPI | 1497959399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HERDT Executive Director 580-255-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 160) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |