| NPI | 1346766078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MICHAEL MITCHELL Executive Directo 918-519-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |