NPI | 1679851174 |
---|---|
Entity Type | Organization |
Authorized Contact | CORNELIUS PITTS Owner/President 580-278-6151 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: OK 3653) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: OK 3653) |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |