| NPI | 1558783589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER "KITT" J WAKELEY Authorized Official 405-550-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2015-02-04 |