Organization · Type 2 NPI

Central Oklahoma Family Medical Center

Emotionally Disturbed Childrens' Residential Treatment Facility · Konawa, OK

NPI number 1215196340 Active

Practice location

527 W 3rd St
Konawa, OK 74849-1415

Specialties and licenses

Taxonomy	Code	License
Emotionally Disturbed Childrens' Residential Treatment Facility Primary	322D00000X	None listed

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

54 other providers at this address

NPI record

NPI: 1215196340
Entity type: Organization (Type 2)
Issued: Jun 4, 2008
Last updated: Oct 4, 2010
Status: Active
Subpart: Yes of Central Oklahoma Family Medical Center

Other names

<unavail>
Paden Day Treatment · other name

Authorized official

Mrs. Denise Sharp, ARN.P.
Interim CEO
(580) 925-3286

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215196340

Central Oklahoma Family Medical Center's National Provider Identifier is 1215196340, issued on Jun 4, 2008. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Konawa, OK. The record was last updated on Oct 4, 2010.