| NPI | 1558570309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY D. COX Co Owner 918-658-2509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |