| NPI | 1629947130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA LYNETTE AUSTIN Administrator/Owner 918-804-1248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |