NPI | 1528300050 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN JENKINS Chief Clinical Services Officer 918-991-6650 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2013-03-22 |
Last Update Date | 2018-11-12 |