| NPI | 1134427800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA OLOGWARO UWUDIA President 405-259-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 4256) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: OK 4256) |
| 305R00000X Preferred Provider Organization (Licence: OK 4256) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |