| NPI | 1881144947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY SMITH CEO 918-521-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NV NV20161387531) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2018-01-25 |