| NPI | 1558735217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMA DIANE TRACY Peer Recovery Support Specialist 405-919-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |