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Organization

RESTORATION YOUTH AND FAMILY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHRYN POULTER (MANAGING DIRECTOR)
(405) 354-6010
Entity
Organization

Contact information

Practice address
300 S RANCHWOOD BLVD, SUITE 15-16, YUKON, OK 73099-2741
(405) 354-6010
(405) 354-6070
Mailing address
300 S RANCHWOOD BLVD, SUITE 15-16, YUKON, OK 73099-2741
(405) 354-6010
(405) 354-6070

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
999720928
OK

Other

Enumeration date
04/28/2010
Last updated
07/11/2011
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