| NPI | 1669597647 |
|---|---|
| Other Name | KIAMICHI YOUTH SERVICE, INC. |
| Entity Type | Organization |
| Authorized Contact | DEBORAH D. LAWSON Administrative Assistant 580-286-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 261QM0801X) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |