| NPI | 1346640059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHRISTOPHER DISMUKE President 405-314-7588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 5193) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 5193) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-09-09 |