| NPI | 1609193135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDELL TYRONE BELL Mental Health Technician 405-532-3872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OK 322D00000X) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |