| NPI | 1760768006 |
|---|---|
| Other Name | CROSSROADS CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | JAMES WINEINGER Executive Director 918-749-2141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2011-11-01 |