NPI | 1558552240 |
---|---|
Entity Type | Organization |
Authorized Contact | RONNIE MARVIN ALEXANDER Manage/Owner 405-364-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2007-08-07 |
Last Update Date | 2007-08-07 |