| NPI | 1932403276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKESHA L FRANKS Director 405-474-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2010-12-30 |