| NPI | 1194347682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY CHEN Treatment Director 405-605-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2021-05-28 |