| NPI | 1649460650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D. HENDRIX Executive Director 405-743-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: OK 462) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |