| NPI | 1801038534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRA R EPPERLY Owner 580-774-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1545) |
| Enumeration Date | 2009-03-26 |
| Last Update Date | 2009-03-26 |