Organization
CHOICES FOR LIFE FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA MAVES (THERAPIST)
(918) 248-4340
Entity
Organization
Contact information
Practice address
724 S MISSION ST, SAPULPA, OK 74066-4660
(918) 248-4340
Mailing address
724 S MISSION ST, SAPULPA, OK 74066-4660
(918) 248-4340
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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