| NPI | 1750598983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI MYERS Executive Director 918-259-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |