| NPI | 1619208147 |
|---|---|
| Doing Business As | SWFC DBA SPUR PILOT |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN BRILL Lead Clinician 405-848-0011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: OK 1465) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OK 1465) |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2010-01-22 |