| NPI | 1710240825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS GRAY Coordinator 918-287-5420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 109) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |