| NPI | 1710270418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRE LAJUAN RHODES Service COO Rdinator 918-850-2412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 61573931) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2011-05-27 |