| NPI | 1922453323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA PATTON Clinical Director 405-532-4331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 5703) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 5703) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |