| NPI | 1821134032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE W. GATES Program Director 580-254-2886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK K8600113) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |