| NPI | 1194152843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LETA MICHELLE TOLBERT Bhrs 918-899-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2013-09-26 |