| NPI | 1922451467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY HARTWICK Clinical Director 405-642-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4780) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |