| 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 |