| NPI | 1386049401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE LYNETTE BOWMAN-LOWE Operator/Owner 405-608-6877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 24415) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2021-11-30 |