Organization
FAITH FAMILY DEVELOPMENTAL CENTER
Active
Organization
FAITH FAMILY DEVELOPMENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY DUANE RANDLEMAN PH.D. (PSYCHOLOGIST)
(918) 452-3512
Entity
Organization
Contact information
Practice address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3512
(918) 452-3512
Mailing address
RR 1 BOX 131C, EUFAULA, OK 74432-9223
(918) 452-3512
(918) 452-3512
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
825
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100839240-A
—
OK
05
—
200097840-A
—
OK
05
—
200097840-B
—
OK
Enumeration date
09/23/2009
Last updated
09/23/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up