Organization
DOMESTIC VIOLENCE INTERVENTION SERVICES, INC.
Active
Other names
DVIS/Call Rape
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY REDMON M.S.W. (EXECUTIVE DIRECTOR)
(918) 585-3170
Entity
Organization
Contact information
Practice address
4300 S HARVARD AVE, SUITE 100, TULSA, OK 74135-2619
(918) 585-3170
Mailing address
4300 S HARVARD AVE, SUITE 100, TULSA, OK 74135-2619
(918) 585-3170
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
675
ODMHSAS
OK
Enumeration date
04/15/2008
Last updated
04/15/2008
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