| NPI | 1790089829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON EVANS CEO 580580-745-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK 20938) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |