| NPI | 1740538644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHON SANDERS Owner 405-613-2376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 139135567) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-02-27 |