Developmental Assessment & Intervention Center

NPI #1003005943 in Ardmore, Oklahoma

Provider Information

NPI Number
1003005943
Entity Type
Organization
Organization Name
Developmental Assessment & Intervention Center
Primary Specialty
Counselor - Mental Health
Enumeration Date
Oct 16, 2007
Last Updated
Oct 16, 2007

Practice Location

Address
301 WEST MAIN
Address 2
SUITE 324
ZIP Code
73401-6322
Phone
(580) 226-9222

Authorized Official

Name
MRS. BRENDA K ULRICH, LPC
Title
PRESIDENT
Phone
(580) 226-9222

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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