NPI | 1780939223 |
---|---|
Entity Type | Organization |
Authorized Contact | DARREN DRY Director 918-453-5519 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
Enumeration Date | 2012-07-20 |
Last Update Date | 2012-07-20 |