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 |