| NPI | 1720479777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R SULLIVAN Owner 918-481-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 0892) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |