| NPI | 1780985952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYMON HINSON Associate Administrator 580-436-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2731) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |