Organization
BRIGGS FAMILY AND YOUTH ASSOCIATION
Active
Organization
BRIGGS FAMILY AND YOUTH ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DE'LICIA SHONTEZ BURRELL (REHABILITATION SPECIALIST)
(580) 212-7335
Entity
Organization
Contact information
Practice address
1211 N SHARTEL AVE, OKLAHOMA CITY, OK 73103-2400
(405) 521-8635
Mailing address
1211 N SHARTEL AVENUE, OKLAHOMA CITY, OK 73103
(405) 521-8635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
103K00000X
OK
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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