| NPI | 1164780193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA L WEBB Therapist 405-471-9301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 163) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 263) |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |