| NPI | 1174385900 |
|---|---|
| Doing Business As | SISU YOUTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | MEAGAN KAYE MATHIS Clinical Services Manager 405-589-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |