Organization
NATIONAL COMMUNITY DEV CORP OF OK
Active
Other names
NCDC of OK
Organization subpart
No
Provider details
NPI number
Authorized official
JIM FLUEGEL PH.D. (EXECUTIVE DIRECTOR)
(918) 585-2233
Entity
Organization
Contact information
Practice address
3115 S WINSTON AVE, TULSA, OK 74135-2028
(918) 585-2233
(918) 585-2513
Mailing address
3115 S WINSTON AVE, TULSA, OK 74135-2028
(918) 585-2233
(918) 585-2513
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
7669
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100630490K
—
OK
Enumeration date
11/07/2012
Last updated
11/07/2012
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