| NPI | 1841787686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY L WHITAKER Clinical Director 405-361-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2023-09-14 |