| NPI | 1891012092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK C AUSTIN Director 918-567-2389 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: OK 344) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |