| NPI | 1538618772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY PRITCHARD Midwest Regional Program Director 405-422-8817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |