| NPI | 1952949349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRE'YON JAMES Director Of Operations 918-490-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2025-12-09 |