| NPI | 1740426808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON Chief Executive Officer 918-289-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: CO 229) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2024-06-26 |