Whalio Doctors

NPI 1184978512

National Community Dev Corp of Ok

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Tulsa, OK

Practice location

Address
3115 S Winston Ave, Tulsa, OK 74135-2028
Phone
(918) 585-2233
Fax
(918) 585-2513

Authorised official

Name
Jim Fluegel
Title
Executive Director
Phone
(918) 585-2233

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X Licence 7669 (OK)

Registry record

NPI
1184978512
Entity type
Organization
NPI issued
7 Nov 2012
Record last updated
7 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.