| NPI | 1801317821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WESLEY VAUGHN Director 405-310-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OK 961) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |