| NPI | 1902152952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA KAYE BARNES Owner/Executive Clinical Director 580-748-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AR 1-12-11455) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: AR 1-12-11455) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |