| NPI | 1639599285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WALTON WILLIAMS President 918-237-6033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5202) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OK 1116) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2014-04-22 |