| NPI | 1841671815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T SHAHAN Owner 405-620-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 002196) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |