| NPI | 1669590949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE D GRAVES Clinical Director 405-282-5524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-07-21 |