| NPI | 1851420384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY T. CONWAY Executive Director 918-245-0231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2009-12-29 |