| NPI | 1538299417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVETTA MCINTOSH Administrator 918-457-4221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: OK RC 0201-0201) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |