| NPI | 1861745390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALLENSWORTH Behavioral Health Rehabilitation Sp 405-610-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: OK 1) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2022-07-21 |