Organization
BDAFOK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEENA COLVIN (OPERATIONS DIRECTOR)
(405) 470-8778
Entity
Organization
Contact information
Practice address
7615 NW 23RD ST, BETHANY, OK 73008-4943
(405) 470-8778
(405) 730-8071
Mailing address
7615 NW 23RD ST, BETHANY, OK 73008-4943
(405) 470-8778
(405) 730-8071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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