| NPI | 1790922185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFRED STEPHEN SAMPSON Clinical Behavioral Healthcare Spec 918-293-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2011-02-01 |