| Family And Youth Intervention Services | |
|
5555 S Lewis Ave Tulsa OK 74105-7104 | |
| (918) 779-4556 | |
| (918) 895-6917 |
| Full Name | Family And Youth Intervention Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5555 S Lewis Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Michael Baines (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9188524695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family And Youth Intervention Services 2624 N Quincy Ave Tulsa OK 74106-2604 Ph: (918) 949-1404 | Family And Youth Intervention Services 5555 S Lewis Ave Tulsa OK 74105-7104 Ph: (918) 779-4556 |
| NPI Number | 1649519109 |
|---|---|
| Provider Enumeration Date | 02/04/2013 |
| Last Update Date | 02/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649519109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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