NPI | 1578125282 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT THOMPSON Chief Executive Officer 918-289-0270 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2019-07-02 |
Last Update Date | 2024-10-07 |