| NPI | 1538519509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK SHORT Executive Director 405-501-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |