| NPI | 1528140688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND PALMER Director 405-447-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 640) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |