Organization
FAMILY AND YOUTH INTERVENTIONS SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACYE LOVE LPN (LPN)
(918) 810-6852
Entity
Organization
Contact information
Practice address
4444 S 109TH EAST AVE, 220, TULSA, OK 74146-5368
(918) 951-1539
Mailing address
4444 S 109TH EAST AVE, TULSA, OK 74146-5368
(918) 951-1539
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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