| NPI | 1114179090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY DANIEL President 918-488-9992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: OK OK1843) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-11-24 |