| NPI | 1982938072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELDA RANDALL Director 405-715-1717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: OK AL5517-5517) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |