| Lds Family Services Oklahoma Agency | |
|
4500 S Garnett Rd Suite 900 Tulsa OK 74146-5229 | |
| (918) 665-3090 | |
| (918) 665-3092 |
| Full Name | Lds Family Services Oklahoma Agency |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4500 S Garnett Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Darren D Ashton (AGENCY DIRECTOR) |
| Authorized Official Contact | 9186653090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lds Family Services Oklahoma Agency 4500 S Garnett Rd Suite 900 Tulsa OK 74146-5229 Ph: (918) 665-3090 | Lds Family Services Oklahoma Agency 4500 S Garnett Rd Suite 900 Tulsa OK 74146-5229 Ph: (918) 665-3090 |
| NPI Number | 1235343492 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235343492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | K8600028 (Oklahoma) | Primary |
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