| NPI | 1639524994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANE LANGE Clinical Director 405-430-8917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5734) |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |