| NPI | 1992015689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOMAHCHEET Co Owner/President 405-213-3700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 15525610002) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |