| NPI | 1649894775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINI IRISH CEO 405-512-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |