| NPI | 1699653402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA M MICHELLE Executive Director 405-204-3217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2025-08-21 |
| Last Update Date | 2025-09-03 |