| NPI | 1801918784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE WILSON Administrator 918-260-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: OK RC4902-4902) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |