| NPI | 1407868458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE JOHNSON Administrator Health/Medicaid 405-587-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |