| 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 |