| NPI | 1407685134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS LEON ANDERSON CFO 918-630-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |