Organization
SEABREEZE THERAPY SERVICES LLC
Active
Other names
Sunshine Behavioral Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON WAYNE HUTSON (CEO)
(918) 808-0092
Entity
Organization
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 808-0092
(918) 615-6493
Mailing address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 808-0092
(918) 615-6493
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/08/2022
Last updated
07/13/2022
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