Organization
DALLAS FAMILY SERVICES
Active
Other names
DALLAS RESTORATIVE FAMILY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN MARLON BROWN (CASE MANAGEMENT)
(405) 824-3463
Entity
Organization
Contact information
Practice address
920 S BOULEVARD, # 103, EDMOND, OK 73034-4731
(405) 245-7590
Mailing address
920 S BOULEVARD, # 103, EDMOND, OK 73034-4731
(405) 245-7590
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2800
OK
Other
Enumeration date
12/29/2010
Last updated
01/25/2011
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