| NPI | 1811540362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN BARLOW Program Development Specialist 918-540-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 251J00000X Nursing Care |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |