Healthcare Provider Details

I. General information

NPI: 1669703039
Provider Name (Legal Business Name): NEW DAY OUTH AND FMILY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2010
Last Update Date: 01/24/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4420 N LINCOLN BLVD
OKLAHOMA CITY OK
73105-5104
US

IV. Provider business mailing address

112 EASY STREET CT
EDMOND OK
73012-4527
US

V. Phone/Fax

Practice location:
  • Phone: 405-525-0452
  • Fax: 405-525-2515
Mailing address:
  • Phone: 405-359-9013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM CHUKWUDI EMEGANO
Title or Position: CASE MANAGER
Credential:
Phone: 405-359-9013