| NPI | 1760777353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVI HARPER Mental Health & Substance Abuse Mgr 918-664-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |