| NPI | 1518338151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINSEY BROOKE RAY Office Manager 405-810-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4648) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |