| NPI | 1023407376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY EARL COPELAND Chief Financial Officer 918-938-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: OK H6941) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2022-11-10 |