Organization
COVENANT YOUTH AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN POULTER (ADMINISTIVER DIRECTOR)
(405) 521-1755
Entity
Organization
Contact information
Practice address
2408 PANTHEON CIR, OKLAHOMA CITY, OK 73170-3236
(405) 226-9593
(405) 521-1138
Mailing address
3005 NW 63RD ST, OKLAHOMA CITY, OK 73116-3603
(405) 521-1755
(405) 521-1138
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
05/05/2010
Last updated
05/05/2010
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