| NPI | 1568733970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RIGGS Member 918-790-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-07-05 |