| NPI | 1053652636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BESSIE MAE OTT Case Manager 1 918-429-2353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK K082489707) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |