| NPI | 1619015005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTYNI TRAYLER Senior Program Director 405-528-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2024-05-15 |