| NPI | 1588041560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA BLAIR Co Owner 405-830-5732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |