# CENTRAL OKLAHOMA FAMILY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
- **Other names:** Paden Day Treatment
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215196340
- **Legal business name:** CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
- **Authorized official:** MRS. DENISE SHARP ARN.P. (INTERIM CEO)
- **Authorized official phone:** (580) 925-3286

## Contact information

- **Practice address:** 527 W 3RD ST, KONAWA, OK 74849-1415
- **Practice address phone:** (580) 925-3286
- **Mailing address:** 527 W 3RD ST, KONAWA, OK 74849-1415
- **Mailing address phone:** (580) 925-3286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2008
- **Last updated:** 10/04/2010