| NPI | 1972852903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE LYNESE WILKINSON RN 918-470-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: OK k2219208) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |