Organization · Type 2 NPI

Evergreen Ok Ther. Leave & Vocational Support

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oklahoma City, OK

NPI number 1619095783 Active

Practice location

7725 W Britton Rd
Oklahoma City, OK 73132-1507

Call (405) 720-1192 Map

Fax (405) 720-1193

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

6 other providers at this address

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About NPI 1619095783

Evergreen Ok Ther. Leave & Vocational Support's National Provider Identifier is 1619095783, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 22, 2020.