| NPI | 1548005259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BROOK Executive Director 918-688-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2024-06-26 |