| Adolescents And Families At Risk | |
|
9421 E 95th Pl Tulsa OK 74133-6166 | |
| (918) 402-9858 | |
| Not Available |
| Full Name | Adolescents And Families At Risk |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9421 E 95th Pl, Tulsa, Oklahoma |
| Authorized Official Name and Position | Mark J Ingram (CHEIF EXCECUTIVE OFFICER) |
| Authorized Official Contact | 9184029858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescents And Families At Risk 9421 E 95th Pl Tulsa OK 74133-6166 Ph: (918) 402-9858 | Adolescents And Families At Risk 9421 E 95th Pl Tulsa OK 74133-6166 Ph: (918) 402-9858 |
| NPI Number | 1104089580 |
|---|---|
| Provider Enumeration Date | 07/07/2008 |
| Last Update Date | 07/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104089580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 1581 (Oklahoma) | Primary |
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