| NPI | 1548080286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI WHITE Executive Director 405-372-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-21 |