| NPI | 1609390111 |
|---|---|
| Other Name | AUTUMN LIFE CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL WATSON CFO 405-271-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-12-11 |