| NPI | 1992017677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDA YVONNE MOBLEY Clinical Director 405-207-9050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |