Restorer Of Youth And Families Llc | |
1831 E 71st St Tulsa OK 74136-3922 | |
(918) 852-4695 | |
(918) 205-9036 |
Full Name | Restorer Of Youth And Families Llc |
---|---|
Speciality | Clinic/center - Community Health |
Location | 1831 E 71st St, Tulsa, Oklahoma |
Authorized Official Name and Position | Michael Russell Baines (ADMIN) |
Authorized Official Contact | 9188524695 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Restorer Of Youth And Families Llc 5553 S Peoria Ave Ste 103 Tulsa OK 74105-6840 Ph: (918) 852-4695 | Restorer Of Youth And Families Llc 1831 E 71st St Tulsa OK 74136-3922 Ph: (918) 852-4695 |
NPI Number | 1063036424 |
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Provider Enumeration Date | 06/02/2020 |
Last Update Date | 06/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063036424 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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