| NPI | 1942573076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN STITIES Director 918-208-3059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: OK R87617) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |