NPI | 1528514890 |
---|---|
Entity Type | Organization |
Authorized Contact | KARRIE UTTERBACK Clinical Director 405-275-3340 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2016-08-28 |