NPI | 1063548808 |
---|---|
Former Legal Business Name | DAYSPRING COMMUNITY SERVICES |
Entity Type | Organization |
Authorized Contact | MORNA PEDERSON-RAMBO Executive Director 405-702-9721 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2007-02-26 |
Last Update Date | 2009-09-04 |