# STATE OF OKLAHOMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** D/B/A J D McCarty Center for Children with Developmental Disabilities
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609972058
- **Authorized official:** MRS. VICTORIA KUESTERSTEFFEN (DIRECTOR AND CEO)
- **Authorized official phone:** (405) 307-2817

## Contact information

- **Practice address:** 2002 E ROBINSON ST, NORMAN, OK 73071-7420
- **Practice address phone:** (405) 307-2800
- **Practice address fax:** (405) 307-2801
- **Mailing address:** 2002 E ROBINSON ST, NORMAN, OK 73071-7420
- **Mailing address phone:** (405) 307-2800
- **Mailing address fax:** (405) 307-2801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | 2239 | OK | Yes |

## Other

- **Enumeration date:** 09/15/2006
- **Last updated:** 05/05/2014