| NPI | 1740466200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINOR WILLIAM GORDON President 918-747-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 309) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |