| NPI | 1588723548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY CORNELL LONG President 405-767-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 261QM0801X) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |