| NPI | 1689087470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA KAYE STALLINGS Director 918-752-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |