Healthcare Provider Details

I. General information

NPI: 1609170935
Provider Name (Legal Business Name): BRIGGS THERAPEUTIC CHILD CARE DEVELOPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2010
Last Update Date: 12/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 N SHARTEL AVE STE 600
OKLAHOMA CITY OK
73103-2433
US

IV. Provider business mailing address

425 FRETZ AVE STE EF
EDMOND OK
73003-5532
US

V. Phone/Fax

Practice location:
  • Phone: 405-521-8635
  • Fax: 405-521-8652
Mailing address:
  • Phone: 405-509-6703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: JANICE BRIGGS
Title or Position: PRESIDENT/EXECUTIVE DIRECTOR
Credential: M.S
Phone: 405-509-6703