| NPI | 1073723417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN EVANS Executive Director 580-254-5322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: OK K860076) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2010-09-29 |