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Organization

CHOICES FOR LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DOUG FELLRATH (CEO/PRESIDENT)
(405) 751-0800
Entity
Organization

Contact information

Practice address
724 S MISSION ST, SAPULPA, OK 74066-4660
(918) 248-4340
Mailing address
4101 PERIMETER CENTER DR, SUITE 250, OKLAHOMA CITY, OK 73112-2302
(405) 751-0800

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
07/23/2013
Last updated
07/23/2013
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