| NPI | 1205105780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLANNE HOPE ROACH President 405-703-3163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK 2581) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2023-01-17 |