| NPI | 1518341510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JEAN ORMEROD Owner 918-938-2554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5097) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |