| NPI | 1669602173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M VAUGHN Associate Executive Director 405-282-5283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |