| NPI | 1821481136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALISA HELSLEY Sole Mbr 918-808-8997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4992) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2015-03-11 |