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
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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