| NPI | 1700114428 |
|---|---|
| Doing Business As | THUNDERBIRD CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | PAMELA JOE SANFORD Executive Director 405-321-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |