| NPI | 1689949778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD AHMAD Director 918-392-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 28864) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2012-03-21 |