Organization
OFFICE OF JUVENILE AFFAIRS, STATE OF OKLAHOMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT EUGENE CHRISTIAN (DIRECTOR)
(405) 530-2800
Entity
Organization
Contact information
Practice address
3812 N SANTA FE AVE STE 400, OKLAHOMA CITY, OK 73118-8500
(405) 530-2800
(405) 530-2911
Mailing address
PO BOX 268812, OKLAHOMA CITY, OK 73126-8812
(405) 530-2800
(405) 530-2911
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100664480A
OHCA PROVIDER ID TCM
OK
01
—
100718320A
OHCA PROVIDER ID RBMS
OK
Enumeration date
10/13/2006
Last updated
06/18/2008
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