| NPI | 1407297963 |
|---|---|
| Former Legal Business Name | CROSSOVER COMMUNITY IMPACT, INC |
| Entity Type | Organization |
| Authorized Contact | SHARMIEN CHARNISETTE WATKINS CFO 918-398-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 14202) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2024-02-02 |