| NPI | 1881089332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON CEO 918-289-0270 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NM LPN-21303) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2025-02-25 |