| NPI | 1922316819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN E JOHNSON Director 405-601-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4417) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2020-03-31 |