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