| NPI | 1821405770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIEN OLIVIA HOLMAN CEO 405-726-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5267) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2016-09-01 |