Adolescents and Families at Risk

NPI #1104089580 in Tulsa, Oklahoma

Provider Information

NPI Number: 1104089580
Entity Type: Organization
Organization Name: Adolescents and Families at Risk
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 9421 E 95TH PL
City: Tulsa
State: Oklahoma
ZIP Code: 74133-6166
Phone: (918) 402-9858

Authorized Official

Name: MR. MARK J INGRAM, L.P.C.
Title: CHEIF EXCECUTIVE OFFICER
Phone: (918) 402-9858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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