Organization
SUBSTANCE ABUSE FOUNDATIION FOR EDUCAITON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL WESLEY VAUGHN LADC (DIRECTOR)
(405) 310-0150
Entity
Organization
Contact information
Practice address
1618 SE 59TH ST, OKLAHOMA CITY, OK 73129-7314
(405) 310-0150
Mailing address
2500 MCGEE DR STE 102, NORMAN, OK 73072-6705
(405) 310-0150
(405) 573-9727
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
961
OK
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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