| NPI | 1841565751 |
|---|---|
| Doing Business As | BIG |
| Entity Type | Organization |
| Authorized Contact | MELINDA LEE FISHER POHLENZ Director 918-630-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2022-07-21 |