| NPI | 1841577673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MCGINNIS Executive Director 918-833-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2011-11-08 |