| NPI | 1821288689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERASA LAZUNA MILES-GREASLEY Executive Clinical Director 405-528-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-04-29 |