| NPI | 1427151521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN STOVER Executive Director 405-795-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-10-19 |