| NPI | 1528418795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALECIA ANNE HANES President 405-265-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2016-06-17 |
| Last Update Date | 2016-06-17 |