Organization
SEABREEZE THERAPY SERVICES LLC
Active
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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