| NPI | 1538325022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN P JOHNSON Substance Abuse Counselor 918-683-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |