| NPI | 1518611862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE TAYLOR Billing Supervisor 918-935-2551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2025-08-13 |