| NPI | 1891884110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY A SPURGEON COO 405-447-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 261QM0801X) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2009-12-29 |