| NPI | 1881617876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA M BRUNER Program Director 405-232-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2011-07-20 |