NPI | 1164429882 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ANN CLAYTON President & CEO 405-792-2401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 171W00000X Contractor (Licence: OK DC55035503) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2022-12-07 |