Organization
FULL FUNCTION REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY OLIVER (DIRECTOR OF BEHAVIORAL HEALTH)
(405) 551-0794
Entity
Organization
Contact information
Practice address
6510 S WESTERN AVE STE 400, OKLAHOMA CITY, OK 73139-1712
(405) 643-1111
(405) 634-1122
Mailing address
6510 S WESTERN AVE STE 400, OKLAHOMA CITY, OK 73139-1712
(405) 634-1111
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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