| NPI | 1689967531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL L WALLS Behavior Rehabilitation Specialist 405-921-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-10-27 |