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Organization
BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC.
Active
Organization
BRIGGS THERAPEUTIC INTENSIVE CHILD DEVOPMENT SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARINA MUN LAN BULOCK (TEACHER ASSISTANT)
(405) 512-9000
Entity
Organization
Contact information
Practice address
425 S FRETZ AVE STE E, EDMOND, OK 73003-5568
(405) 844-2992
Mailing address
425 FRETZ AVE STE E, EDMOND, OK 73003-5568
(405) 844-2992
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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