| NPI | 1679989586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA S WORLEY Director 918-575-0687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 3693) |
| Additional Taxonomies | 251B00000X Case Management (Licence: OK 3693) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2023-03-31 |