Healthcare Provider Details

I. General information

NPI: 1851413918
Provider Name (Legal Business Name): YOUTH & FAMILY SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 ELM AVE STE 106
YUKON OK
73099-2669
US

IV. Provider business mailing address

2404 SUNSET DR
EL RENO OK
73036-2128
US

V. Phone/Fax

Practice location:
  • Phone: 405-354-0846
  • Fax: 405-354-0846
Mailing address:
  • Phone: 405-262-6555
  • Fax: 405-262-6557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number261QM0801X
License Number StateOK

VIII. Authorized Official

Name: MRS. DEE BLOSE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 405-262-6555