MEDICARE: CALM WATERS CENTER FOR CHILDREN AND FAMILIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1003342320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALM WATERS CENTER FOR CHILDREN AND FAMILIES

Provider Business Mailing Address
First Line	:	501 N WALKER AVE
Second Line	:	SUITE 140
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1622
Country	:	US
Telephone Number	:	405-841-4800
Fax Number	:	405-841-4803

Provider Business Practice Location Address
First Line	:	501 N WALKER AVE
Second Line	:	SUITE 140
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-1622
Country	:	US
Telephone Number	:	405-841-4800
Fax Number	:	405-841-4803

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	HEATHER WARFIELD
Credential	:
Telephone Number	:	405-517-4808

Provider Enumeration Date	:	05/05/2017
Last Update Date	:	04/23/2021

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