NPI | 1699980623 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNELLE BRUMMEL Credentialing Specialist 405-858-2733 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 2547) |
Enumeration Date | 2007-05-12 |
Last Update Date | 2020-08-22 |