Central Oklahoma Family Medical Center

NPI #1215196340 in Konawa, Oklahoma

Provider Information

NPI Number
1215196340
Entity Type
Organization
Organization Name
Central Oklahoma Family Medical Center
Subpart
Yes (part of a larger organization)
Parent Organization
CENTRAL OKLAHOMA FAMILY MEDICAL CENTER
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Jun 4, 2008
Last Updated
Oct 4, 2010

Practice Location

Address
527 W 3RD ST
City
Konawa
ZIP Code
74849-1415
Phone
(580) 925-3286

Authorized Official

Name
MRS. DENISE SHARP, ARN.P.
Title
INTERIM CEO
Phone
(580) 925-3286

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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