| NPI | 1780176479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES LEANN CHASTAIN Co 0wner 405-919-7009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 6368) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2019-11-12 |