| Mid-del Youth & Family Center, Inc. | |
|
2840 Linda Ln Del City OK 73115-5012 | |
| (405) 733-5437 | |
| (405) 732-7741 |
| Full Name | Mid-del Youth & Family Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2840 Linda Ln, Del City, Oklahoma |
| Authorized Official Name and Position | Lisa Cooper (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4057335437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-del Youth & Family Center, Inc. 2840 Linda Ln Del City OK 73115-5012 Ph: (405) 733-5437 | Mid-del Youth & Family Center, Inc. 2840 Linda Ln Del City OK 73115-5012 Ph: (405) 733-5437 |
| NPI Number | 1114099355 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 02/05/2024 |
| Certification Date | 02/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114099355 | NPI | - | NPPES |
| 100740990B | Medicaid | OK | |
| 100740990C | Medicaid | OK | |
| 100740990A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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