Organization
THE VILLAGE BUILDERS COMMUNITY DEVELOPMENT FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L FARMER NCC,LPC,LMFT,LADC (CEO)
(580) 512-9862
Entity
Organization
Contact information
Practice address
1303 W GORE BLVD, SUITE 6, LAWTON, OK 73501-3645
(580) 512-9862
Mailing address
PO BOX 8012, LAWTON, OK 73506-2012
(580) 512-9862
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
3171
OK
Other
Enumeration date
01/04/2009
Last updated
01/04/2009
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