Organization
WESLEYAN YOUTH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAN SILLS (EXECUTIVE DIRECTOR)
(405) 524-4457
Entity
Organization
Contact information
Practice address
ONE MILE WEST OF HIGHWAY 69 ON HIGHWAY 9 (SOUTH SIDE), EUFAULA, OK 74432
(405) 524-4457
(405) 524-5762
Mailing address
4500 N CLASSEN BLVD, SUITE 200, OKLAHOMA CITY, OK 73118-4834
(405) 524-4457
(405) 524-5762
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
K8600030
OK
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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