| NPI | 1801311121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY LYN CONKLIN CEO/Owner 918-500-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2023-07-12 |