NPI | 1356424865 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY MCADAMS Superintendent 580-564-9033 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 251K00000X) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2020-08-22 |