# HOME AWAY FROM HOME BEHAVIORAL HEALTH & WELLNESS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOME AWAY FROM HOME ADULT DAY SERVICES LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720901994
- **Legal business name:** HOME AWAY FROM HOME ADULT DAY SERVICES LLC
- **Authorized official:** KIMBERLY RICHARDSON ADHC (ADMINISTRATOR)
- **Authorized official phone:** (405) 455-3342

## Contact information

- **Practice address:** 9213 NE 10TH ST, MIDWEST CITY, OK 73130-1317
- **Practice address phone:** (405) 455-3342
- **Practice address fax:** (405) 931-3204
- **Mailing address:** 9213 NE 10TH ST, MIDWEST CITY, OK 73130-1317
- **Mailing address phone:** (405) 455-3342
- **Mailing address fax:** (405) 931-3204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2026
- **Last updated:** 08/03/2026