NPI 1790963445

Wesleyan Youth INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lawton, OK

Practice location

Address: 605 SW B Ave #3, Lawton, OK 73501-3962
Phone: (405) 524-4457
Fax: (405) 524-5762
Mailing address: 4500 N Classen Blvd Suite 200, Oklahoma City, OK 73118-4834

Authorised official

Name: Jan Sills
Title: Executive Director
Phone: (405) 524-4457

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence K8600030 (OK)

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

Registry record

NPI: 1790963445
Entity type: Organization
NPI issued: 5 Feb 2008
Record last updated: 5 Feb 2008

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.