Organization
THE CENTER FOR GRIEF RECOVERY & FAMILY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA ANN JOHNSON (EXECUTIVE DIRECTOR)
(918) 698-4424
Entity
Organization
Contact information
Practice address
4867 S SHERIDAN RD, SUITE 703-A, TULSA, OK 74145-5747
(918) 698-4424
Mailing address
8280 E DESTINY LN, SKIATOOK, OK 74070-5266
(918) 698-4424
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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