Healthcare Provider Details
I. General information
NPI: 1003061623
Provider Name (Legal Business Name): FAMILY & CHILDREN'S SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2008
Last Update Date: 11/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 W EIGHTTH STREET
TULSA OK
74119-1419
US
IV. Provider business mailing address
650 S PEORIA AVE
TULSA OK
74120-4429
US
V. Phone/Fax
- Phone: 918-585-3227
- Fax:
- Phone: 918-587-9471
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
GAIL
LAPIDUS
Title or Position: CEO
Credential: LCSW
Phone: 918-587-9471