Organization
MID-DEL YOUTH & FAMILY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA COOPER LPC (CLINICAL DIRECTOR)
(405) 733-5437
Entity
Organization
Contact information
Practice address
2840 LINDA LN, DEL CITY, OK 73115-5012
(405) 733-5437
(405) 732-7741
Mailing address
2840 LINDA LN, DEL CITY, OK 73115-5012
(405) 733-5437
(405) 732-7741
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100740990A
—
OK
05
—
100740990B
—
OK
05
—
100740990C
—
OK
Enumeration date
11/14/2006
Last updated
02/05/2024
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