| Calm Waters Center For Children And Families | |
|
501 N Walker Ave Suite 140 Oklahoma City OK 73102-1622 | |
| (405) 841-4800 | |
| (405) 841-4803 |
| Full Name | Calm Waters Center For Children And Families |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 501 N Walker Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Heather Warfield (PROGRAM DIRECTOR) |
| Authorized Official Contact | 4055174808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calm Waters Center For Children And Families 501 N Walker Ave Suite 140 Oklahoma City OK 73102-1622 Ph: (405) 841-4800 | Calm Waters Center For Children And Families 501 N Walker Ave Suite 140 Oklahoma City OK 73102-1622 Ph: (405) 841-4800 |
| NPI Number | 1003342320 |
|---|---|
| Provider Enumeration Date | 05/05/2017 |
| Last Update Date | 04/23/2021 |
| Certification Date | 04/23/2021 |
| Medicare PECOS PAC ID | 5799137493 |
|---|---|
| Medicare Enrollment ID | O20240118001572 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003342320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Heather Gaglio |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609115914 PECOS PAC ID: 9234581935 Enrollment ID: I20240122001977 |
| Provider Name | Jordan Nicolle Park |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1508363680 PECOS PAC ID: 3971955352 Enrollment ID: I20240122002631 |
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