NPI | 1750677746 |
---|---|
Other Name | DTC |
Entity Type | Organization |
Authorized Contact | STEVEN W DELIA Ower/Medical Director 918-790-2890 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |