| NPI | 1790803286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET KAYE CIZEK President CEO 918-384-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2019-12-18 |