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ADOLESCENTS AND FAMILIES AT RISK NPI 1104089580


NPI Information

NPI: 1104089580
Provider Name: ADOLESCENTS AND FAMILIES AT RISK
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
9421 E 95TH PL
TULSA, OK
ZIP 74133
Phone: (918) 402-9858
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ADOLESCENTS AND FAMILIES AT RISK is a mental health (including community mental health center) clinic center in Tulsa, OK. ADOLESCENTS AND FAMILIES AT RISK NPI is 1104089580. The provider is registered as an organization entity type.

The provider's business location address is:

9421 E 95TH PL
TULSA, OK
ZIP 74133-166
Phone: (918) 402-9858

The provider's authorized official is Mark J Ingram .
The authorized official title is Cheif Excecutive Officer and has the following contact phone number (918) 402-9858.

The enumeration date for this NPI number is 7/7/2008 and was last updated on 7/7/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1581OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.