NPI | 1407297963 |
---|---|
Former Legal Business Name | CROSSOVER COMMUNITY IMPACT, INC |
Other Name | CROSSOVER HEALTH SERVICES, L.L.C. |
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 |