Healthcare Provider Details

I. General information

NPI: 1275083867
Provider Name (Legal Business Name): OKLAHOMA FAMILIES FIRST, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2504 E 71ST ST STE C
TULSA OK
74136-5574
US

IV. Provider business mailing address

2600 VAN BUREN ST STE 2634
NORMAN OK
73072-5610
US

V. Phone/Fax

Practice location:
  • Phone: 405-360-2133
  • Fax: 405-360-4821
Mailing address:
  • Phone: 405-360-2133
  • Fax: 405-360-4821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberK860000112
License Number StateOK

VIII. Authorized Official

Name: STEPHANIE RICHARDSON
Title or Position: QA DIRECTOR
Credential: LBP
Phone: 405-360-2133