NPI 1215196340

Central Oklahoma Family Medical Center

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Konawa, OK

Practice location

Address: 527 W 3rd St, Konawa, OK 74849-1415
Phone: (580) 925-3286

Authorised official

Name: Denise Sharp
Title: Interim Ceo
Phone: (580) 925-3286

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oklahoma →

Registry record

NPI: 1215196340
Entity type: Organization
NPI issued: 4 Jun 2008
Record last updated: 4 Oct 2010

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.