| NPI | 1932322971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL R HAMBY Executive Director 918-253-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 373H00000X Day Training/Habilitation Specialist | |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |