NPI | 1821508763 |
---|---|
Entity Type | Organization |
Authorized Contact | CRYSTAL RIOS Owner 405-659-5858 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 1159) |
Enumeration Date | 2017-10-05 |
Last Update Date | 2019-06-11 |