| NPI | 1568799203 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LAKEIA ROBINSON Children's Program Manager 918-585-3163  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health | 
| Enumeration Date | 2009-11-16 | 
| Last Update Date | 2009-11-16 |