| NPI | 1780965194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SANDERSON President 405-464-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4028) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2016-06-21 |