| NPI | 1790960672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DENISE BOWLER-SHOPEYIN Chief Operating Officer 405-487-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1912150892) |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |