NPI | 1508108028 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNN LOEBNER Sole Mbr 918-607-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 0369) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2013-03-22 |