| Dallas Restorative Family Services | |
|
920 S Boulevard # 103 Edmond OK 73034-4731 | |
| (405) 245-7590 | |
| Not Available |
| Full Name | Dallas Restorative Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 920 S Boulevard, Edmond, Oklahoma |
| Authorized Official Name and Position | Glenn Marlon Brown (CASE MANAGEMENT) |
| Authorized Official Contact | 4058243463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Restorative Family Services 920 S Boulevard # 103 Edmond OK 73034-4731 Ph: (405) 245-7590 | Dallas Restorative Family Services 920 S Boulevard # 103 Edmond OK 73034-4731 Ph: (405) 245-7590 |
| NPI Number | 1962706333 |
|---|---|
| Provider Enumeration Date | 12/29/2010 |
| Last Update Date | 01/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962706333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2800 (Oklahoma) | Primary |
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