| NPI | 1811242142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R. POTTER Owner 405-292-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 1101) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |