| 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 |