NPI | 1881921898 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRY ROUSE Administrator 918-775-7751 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OK RC6801-6801) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2009-11-11 |