| Southwest Foster Care Of Oklahoma, Inc. | |
|
10306 N 138th E Ave 102 Owasso OK 74055-4666 | |
| (918) 376-4200 | |
| (918) 376-4252 |
| Full Name | Southwest Foster Care Of Oklahoma, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10306 N 138th E Ave, Owasso, Oklahoma |
| Authorized Official Name and Position | Eric Brown (CEO) |
| Authorized Official Contact | 9183764200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Foster Care Of Oklahoma, Inc. 10306 N 138th E Ave 102 Owasso OK 74055-4666 Ph: (918) 376-4200 | Southwest Foster Care Of Oklahoma, Inc. 10306 N 138th E Ave 102 Owasso OK 74055-4666 Ph: (918) 376-4200 |
| NPI Number | 1790908218 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 04/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790908218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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