| NPI | 1730445768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LEA LEACH Counselor/ Case Coordinator 580-514-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: OK 20158) |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-04 |