| NPI | 1679819106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT EDWIN GASTON CEO 405-844-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2578) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |