NPI | 1972880300 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITHA DONELLE WYATT Chief Executive Officer 405-254-5040 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2011-11-14 |
Last Update Date | 2012-02-22 |