| NPI | 1396012407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN KARIN JENNINGS Medical Director 918-493-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 18381) |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |