Organization
SPUR OUTPATIENT SERVICES DBA SOUTHWEST FOSTER CARE
Active
Parent organization
SOUTHWEST FOSTER CARE
Other names
SWFC dba SPUR Pilot
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST FOSTER CARE
Authorized official
MS. STEPHANIE ANN BRILL LCSW (LEAD CLINICIAN)
(405) 848-0011
Entity
Organization
Contact information
Practice address
4801 N CLASSEN BLVD STE 135, OKLAHOMA CITY, OK 73118-4624
(405) 848-0011
(405) 848-2111
Mailing address
4801 N. CLASSEN BLVD, SUITE 135, OKLAHOMA CITY, OK 73118-4624
(405) 848-0011
(405) 848-2111
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1465
OK
261QM0855X
Adolescent and Children Mental Health Clinic/Center
1465
OK
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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