Healthcare Provider Details

I. General information

NPI: 1063536167
Provider Name (Legal Business Name): CENTER FOR CHILDREN AND FAMILIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 12/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1151 E MAIN ST
NORMAN OK
73071-5331
US

IV. Provider business mailing address

1151 E MAIN ST
NORMAN OK
73071-5331
US

V. Phone/Fax

Practice location:
  • Phone: 405-364-1420
  • Fax: 405-364-1433
Mailing address:
  • Phone: 405-364-1420
  • Fax: 405-364-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StateOK

VIII. Authorized Official

Name: MS. KATIE FITZGERALD
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-364-1420