Healthcare Provider Details

I. General information

NPI: 1811133143
Provider Name (Legal Business Name): YWCA OKLAHOMA CITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 12/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 W I 44 SERVICE RD
OKLAHOMA CITY OK
73112-8703
US

IV. Provider business mailing address

2460 W I 44 SERVICE RD
OKLAHOMA CITY OK
73112-8703
US

V. Phone/Fax

Practice location:
  • Phone: 405-948-1770
  • Fax: 405-943-7177
Mailing address:
  • Phone: 405-948-1770
  • Fax: 405-943-7177

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. JANET L PEERY
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 405-948-1770