| NPI | 1518262534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAJORIE MILES Administrative Director 405-595-9579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK n/a) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: OK n/a) |
| Enumeration Date | 2011-01-22 |
| Last Update Date | 2011-01-22 |