| NPI | 1609366947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGANDA T RICHARDSON Owner 405-286-6263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OK 4997) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: OK 4997) |
| 253Z00000X In Home Supportive Care (Licence: OK 4997) | |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2018-08-10 |