=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093847246
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | YOUTH AND FAMILY SERVICES OF WASHINGTON COUNTY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2007
-----------------------------------------------------
Last Update Date | 07/09/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2200 SE WASHINGTON BLVD
-----------------------------------------------------
City | BARTLESVILLE
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74006-7135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-335-1111
-----------------------------------------------------
Fax | 918-335-1119
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2200 SE WASHINGTON BLVD
-----------------------------------------------------
City | BARTLESVILLE
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74006-7135
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-335-1111
-----------------------------------------------------
Fax | 918-335-1119
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ACCOUNTING DIRECTOR
-----------------------------------------------------
Name | CLAUDETTE PAPPAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 918-335-1111
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------