| NPI | 1790887602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WILSON Qa/Ur Director 405-360-2133 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2021-04-26 |