| NPI | 1619130978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE DARLENE STALEY Primary Counselor 405-282-8272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |