| NPI | 1982335790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RACHELLE WATTIE CEO 405-226-2695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |