| NPI | 1700449535 |
|---|---|
| Other Name | THE COMMON HOME |
| Entity Type | Organization |
| Authorized Contact | KAITLYN RITCHIE Director 918-914-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |