| NPI | 1740495571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY G WHYBURN Business Manager 918-627-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |