| NPI | 1982960167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LACEY Director 405-226-2572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 1048) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |