NPI | 1841983442 |
---|---|
Entity Type | Organization |
Authorized Contact | MARQUITTA FRAZIER Credentialing Specialist 405-425-0442 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-05-30 |
Last Update Date | 2023-05-30 |