NPI | 1356074165 |
---|---|
Doing Business As | SUNSHINE BEHAVIORAL THERAPY |
Entity Type | Organization |
Authorized Contact | DAMON WAYNE HUTSON CEO 918-808-0092 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 251S00000X |
261QH0700X Clinic/Center, Hearing and Speech | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM1300X Clinic/Center, Multi-Specialty | |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-13 |