Organization
PRINCIPLES OF RESILIENCE OF YOUTH DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON C. PATTON SR. M.H.R (THERAPIST/ CEO)
(405) 840-1243
Entity
Organization
Contact information
Practice address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1243
(405) 840-1211
Mailing address
2828 NW 57TH ST, SUITE 302, OKLAHOMA CITY, OK 73112-6814
(405) 840-1243
(405) 840-1211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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