| NPI | 1871843144 |
|---|---|
| Other Name | UNITED KEETOOWAH BAND COMMUNITY HEALTH INITIATIVE |
| Entity Type | Organization |
| Authorized Contact | BRYAN C SHADE Executive Director 918-822-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2012-09-14 |