| NPI | 1710231386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D. WEST Director 405-601-3324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 230) |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |