| NPI | 1720383516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDRA DEON MARZETT Rehabilitation Specialist 918-851-2129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK H080870444) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2011-01-26 |