| NPI | 1275882664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN R HAYDEN Owner 405-650-9769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 3473) |
| Additional Taxonomies | 251S00000X (Licence: OK 633) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |