| NPI | 1639410939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA HABEN Human Resources 405-623-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: UT 8299593-6009) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |