| NPI | 1528281060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT M BLACK Executive Director 918-756-9411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 100734620D) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 100734620G) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-10-15 |