| Organization Name: | DEVELOPMENTAL ASSESSMENT & INTERVENTION CENTER |
| NPI Number: | 1003005943 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRENDA K ULRICH (PRESIDENT) |
| Mailing Address: | 301 West Main Suite 324 Ardmore |
| State: | OK US |
| Postal Code: | 734016322 |
| Phone Number: | 5802269222 |
| Fax Number: | 5802269226 |
| NPI Enumeration Date: | 10/16/2007 |
| NPI Last Update Date: | 10/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1730 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |