| NPI | 1558728923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY CULWELL HALL Owner/Director 918-457-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4790) |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2016-01-15 |