NPI | 1528224110 |
---|---|
Entity Type | Organization |
Authorized Contact | CONNIE O'BRIEN Owner / Director 5802-340-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3802) |
Enumeration Date | 2008-08-02 |
Last Update Date | 2008-08-02 |