| NPI | 1770929960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANNING LEE CHAMBERLAIN Executive Director 405-413-5121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 6005) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2018-09-04 |