| NPI | 1801396924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BRADLEY Executive Director 405-812-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2018-06-16 |