| NPI | 1508618612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED KAMAL AL-ALAWNEH CEO 918-964-3632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |