| NPI | 1659692010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNETTA FAYE BRAWDY Casemanager 918-664-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |