| NPI | 1881997799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI RAYLYNN REID Director, Field Services 405-522-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 581) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2010-12-15 |