| NPI | 1811156136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK NICHOLSON President 405-801-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3863) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |