NPI | 1508987959 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER MICHAEL KINNEY Director Of Pharmacy 918-207-3049 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OK 36-4537) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2023-03-07 |