Healthcare Provider Details

I. General information

NPI: 1255628871
Provider Name (Legal Business Name): BRIGHTER DAYS YOUTH AND FAMILY SERVCIES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2011
Last Update Date: 07/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 NE 46TH ST
OKLAHOMA CITY OK
73105-3309
US

IV. Provider business mailing address

401 NE 46TH ST
OKLAHOMA CITY OK
73105-3309
US

V. Phone/Fax

Practice location:
  • Phone: 405-602-6331
  • Fax: 405-602-6659
Mailing address:
  • Phone: 405-602-6331
  • Fax: 405-602-6659

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ANGELA M SLAUGHTER
Title or Position: LPC, LADC, EXECUTIVE DIRECTOR
Credential:
Phone: 405-426-5078