NPI 1215255393

Bethesda Family Services Foundation

Organisation Mental Illness Community Based Residential Treatment Facility Sapulpa, OK

Practice location

Address: 1807 S Main St, Sapulpa, OK 74066-6531
Phone: (918) 224-6349
Fax: (918) 224-7951
Mailing address: 260 Reitz Blvd STE 6, Lewisburg, PA 17837-9220

Authorised official

Name: Dominic P. Herbst
Title: Founder, President
Phone: (570) 523-0605

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Oklahoma →

Emotionally Disturbed Childrens' Residential Treatment Facility

Residential Treatment Facilities Taxonomy 322D00000X

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

Registry record

NPI: 1215255393
Entity type: Organization
NPI issued: 13 May 2010
Record last updated: 13 Jan 2017

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.