| NPI | 1790112647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA M. MADONNA Director Of Operations 405-990-0816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2025-12-09 |