| NPI | 1750758694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKIE JO DUNNIGAN Director 405-564-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5773) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-09-16 |