NPI | 1457501702 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE RACHELLE DAVIS Chief Executive Officer 918-858-2346 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: OK 1177) |
Additional Taxonomies | 251S00000X (Licence: OK 1549) |
251S00000X (Licence: OK 3545) | |
Enumeration Date | 2008-09-23 |
Last Update Date | 2024-04-22 |