| NPI | 1679028625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIA MURRAY Executive Director 918-770-0690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |