| NPI | 1841564358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ZACHARY OTOTIVO Triage Specialist Assistant 405-360-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |