| NPI | 1275827560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DR. JOHN REED Pastor 405-235-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 11111111111) |
| 251B00000X Case Management (Licence: OK 1111111111111) | |
| 251V00000X Voluntary or Charitable | |
| 305S00000X Point of Service | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |