| NPI | 1851569289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA L MEIER Managing Member For LLC 405-826-6983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 3527) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2015-05-01 |