| NPI | 1790963445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN SILLS Executive Director 405-524-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OK K8600030) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2008-02-05 |