| NPI | 1477166882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DOMINIC PINTO Chief Operating Officer 918-516-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization |
| 347E00000X Transportation Broker | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2020-08-25 |