| NPI | 1821336934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA L PORTER President/CEO 918-913-9109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 132700000X Dietary Manager |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |