| Bdafok, Llc | |
|
7615 Nw 23rd St Bethany OK 73008-4943 | |
| (405) 470-8778 | |
| (405) 730-8071 |
| Full Name | Bdafok, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7615 Nw 23rd St, Bethany, Oklahoma |
| Authorized Official Name and Position | Sheena Colvin (OPERATIONS DIRECTOR) |
| Authorized Official Contact | 4054708778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bdafok, Llc 7615 Nw 23rd St Bethany OK 73008-4943 Ph: (405) 470-8778 | Bdafok, Llc 7615 Nw 23rd St Bethany OK 73008-4943 Ph: (405) 470-8778 |
| NPI Number | 1962951368 |
|---|---|
| Provider Enumeration Date | 09/26/2016 |
| Last Update Date | 09/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962951368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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