NPI | 1124366836 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICIA ANN JARMAN President, CEO, Clinical Director 405-879-9977 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: OK 4500-P) |
Enumeration Date | 2013-01-30 |
Last Update Date | 2013-01-30 |