| NPI | 1811370471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DAVIES President, Owner 580-357-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: OK 8641) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |