| NPI | 1578717278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN MARIE GORDON President 405-615-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1125) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |