Organization
YOUTH AND FAMILY RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARRIE UTTERBACK (CLINICAL DIRECTOR)
(405) 275-3340
Entity
Organization
Contact information
Practice address
326 W 11TH ST, SHAWNEE, OK 74801
(405) 275-3340
Mailing address
326 W 11TH ST, SHAWNEE, OK 74801
(405) 275-3340
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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