| NPI | 1720206766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN R. STEVENS Program Director 405-879-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2008-07-15 |