| NPI | 1598038028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH M LEDFORD Program Director 918-319-7545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2018-07-13 |