| NPI | 1942691175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL EDLIN GUEST Executive Director 405-606-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 22765) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-07-31 |