| NPI | 1629341342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI SMITH Clinical Director 918-382-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK CMHC-561) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2019-10-11 |