| NPI | 1316228414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARINA MUN LAN BULOCK Teacher Assistant 405-512-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |