| NPI | 1952509150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE L HASKINS Executive Director 405-528-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |