NPI | 1245355387 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN WADDELL Exec Dir 918-744-6202 |
Organization Subpart ? | No |
Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2007-03-20 |
Last Update Date | 2020-08-22 |