Organization Name: | ROCMND AREA YOUTH SERVICES, INC. |
NPI Number: | 1316001563 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN MCSPADDEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 1520 N Industrial Road Vinita |
State: | OK US |
Postal Code: | 743010912 |
Phone Number: | 9182567518 |
Fax Number: | 9182566771 |
NPI Enumeration Date: | 12/21/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |