| NPI | 1033725635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER PONDER Recovery Support Specialist 918-245-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 177F00000X Lodging |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2021-08-13 |