Sheltered Work Activity Program INC

NPI #1023265394 in Muskogee, Oklahoma

Provider Information

NPI Number: 1023265394
Entity Type: Organization
Organization Name: Sheltered Work Activity Program INC
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 210 E OKMULGEE ST
City: Muskogee
State: Oklahoma
ZIP Code: 74403-5453
Phone: (918) 683-8162

Authorized Official

Name: DR. EDWARD B BREEN, PHD
Title: CEO
Phone: (918) 683-8162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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