Organization
SPECIAL YOUNG ADULTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE OSBORN (EXECUTIVE DIRECTOR)
(405) 222-1023
Entity
Organization
Contact information
Practice address
826 W OREGON AVE, CHICKASHA, OK 73018-4423
(405) 222-1023
(405) 222-0284
Mailing address
826 W OREGON AVE, CHICKASHA, OK 73018-4423
(405) 222-1023
(405) 222-0284
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100683300
OKLAHOMA HEALTH CARE AUTHORITY
OK
Enumeration date
05/12/2008
Last updated
05/12/2008
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