| NPI | 1891871489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA C. BALLIETT-BOX CFO 405-607-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2024-04-05 |