| NPI | 1598398430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINH NGUYEN Executive Director 405-810-0054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-02-19 |