| Youth And Family Resource Center | |
|
326 W 11th St Shawnee OK 74801 | |
| (405) 275-3340 | |
| Not Available |
| Full Name | Youth And Family Resource Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 326 W 11th St, Shawnee, Oklahoma |
| Authorized Official Name and Position | Karrie Utterback (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4052753340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth And Family Resource Center 326 W 11th St Shawnee OK 74801 Ph: (405) 275-3340 | Youth And Family Resource Center 326 W 11th St Shawnee OK 74801 Ph: (405) 275-3340 |
| NPI Number | 1528514890 |
|---|---|
| Provider Enumeration Date | 08/28/2016 |
| Last Update Date | 08/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528514890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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