| NPI | 1801321070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL ELIZABETH BROCK Rss 918-961-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK H082815282) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |