| NPI | 1841353844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA HONEYMAN CEO 580-272-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747A0650X Technician Attendant Care Provider | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-09-13 |