| NPI | 1639207202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G BRAUN Agency Director 405-753-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 200076090A) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-01-25 |