| NPI | 1912266644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SUE AMOS Victim Advocate 580-234-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OK 302f00000x) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-05-15 |