| NPI | 1699420869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAH LISA LYNN HIGGINS Administrative Assistant 918-970-6225 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |