Organization
DALLAS RESTORATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE DALLAS SR. (CLINICAL DIRECTOR)
(405) 677-2767
Entity
Organization
Contact information
Practice address
920 S BOULEVARD STE 103, EDMOND, OK 73034-4731
(405) 406-4803
Mailing address
920 S BOULEVARD STE 103, EDMOND, OK 73034-4731
(405) 406-4803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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