POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES - NPI NUMBER 1386081727

Summary

Provider Name: POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES

NPI Number: 1386081727

Clasification: Clinic/Center (261QM0801X)

Specialization: Mental Health (Including Community Mental Health Center)

Address:
351 N AIR DEPOT BLVD STE S
MIDWEST CITY, OK
ZIP 73110

Phone Number: (405) 610-6540



Detailed Information

POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES is a mental health (including community mental health center) clinic/center in Midwest City, OK. The assigned NPI number for this provider is 1386081727 and is registered as an organization entity type.

The provider's business address is:

351 N AIR DEPOT BLVD STE S
MIDWEST CITY, OK
ZIP 73110-760
Phone: (405) 610-6540

The provider's authorized official is William Allensworth .
The authorized official title is Manager and has the following contact phone number (405) 610-6540.

The enumeration date for this NPI number is 5/24/2013 and was last updated on 5/24/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) OK Yes

NPI Record

No. Field Name Field Value
1 NPI 1386081727
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name POSITIVE SOLUTIONS YOUTH AND FAMILY SERVICES
5 Provider First Line Business Practice Location Address 351 N AIR DEPOT BLVD STE S
6 Provider Business Practice Location Address City Name MIDWEST CITY
7 Provider Business Practice Location Address State Name OK
8 Provider Business Practice Location Address Postal Code 731101760
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 4056106540
11 Provider Enumeration Date 5/24/2013
12 Last Update Date 5/24/2013
13 Authorized Official Last Name ALLENSWORTH
14 Authorized Official First Name WILLIAM
15 Authorized Official Title or Position MANAGER
16 Authorized Official Telephone Number 4056106540
17 Healthcare Provider Taxonomy Code 1 261QM0801X
18 Provider License Number State Code 1 OK
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Organization Subpart N

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This page was last updated on: 10/12/2014
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