Organization
STATE OF OKLAHOMA
Active
Other names
D/B/A J D McCarty Center for Children with Developmental Disabilities
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA KUESTERSTEFFEN (DIRECTOR AND CEO)
(405) 307-2817
Entity
Organization
Contact information
Practice address
2002 E ROBINSON ST, NORMAN, OK 73071-7420
(405) 307-2800
(405) 307-2801
Mailing address
2002 E ROBINSON ST, NORMAN, OK 73071-7420
(405) 307-2800
(405) 307-2801
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2239
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700670A
—
OK
05
—
100708750A
—
OK
Enumeration date
09/15/2006
Last updated
05/05/2014
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