NPI | 1649737990 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT CAUTHEN Member 405-445-0869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-02-22 |
Last Update Date | 2019-02-22 |