| NPI | 1447520820 |
|---|---|
| Former Legal Business Name | PETERS AGENCY BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | TIFFANY GAYLE PHILPOT Managing Officer 918-775-0250 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |