| NPI | 1316152622 |
|---|---|
| Doing Business As | OKLAHOMA MENTOR |
| Entity Type | Organization |
| Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 376J506) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2023-03-05 |