| Peaceful Family Solutions Inc | |
|
7405 S Douglas Ave Oklahoma City OK 73139-1911 | |
| (405) 601-2691 | |
| (405) 601-2773 |
| Full Name | Peaceful Family Solutions Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 7405 S Douglas Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Forrest Brent Katigan (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4056012691 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peaceful Family Solutions Inc 7405 S. Douglas Avenue Oklahoma City OK 73139 Ph: (405) 601-2691 | Peaceful Family Solutions Inc 7405 S Douglas Ave Oklahoma City OK 73139-1911 Ph: (405) 601-2691 |
| NPI Number | 1518333087 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518333087 | NPI | - | NPPES |
| 200524760B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 922 (Oklahoma) | Primary |
| 101YM0800X | Counselor - Mental Health | 922 (Oklahoma) | Secondary |
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