| The Village Builders Community Development Foundation | |
|
1303 W Gore Blvd Suite 6 Lawton OK 73501-3645 | |
| (580) 512-9862 | |
| Not Available |
| Full Name | The Village Builders Community Development Foundation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1303 W Gore Blvd, Lawton, Oklahoma |
| Authorized Official Name and Position | Andrea L Farmer (CEO) |
| Authorized Official Contact | 5805129862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Village Builders Community Development Foundation Po Box 8012 Lawton OK 73506-2012 Ph: (580) 512-9862 | The Village Builders Community Development Foundation 1303 W Gore Blvd Suite 6 Lawton OK 73501-3645 Ph: (580) 512-9862 |
| NPI Number | 1821234469 |
|---|---|
| Provider Enumeration Date | 01/04/2009 |
| Last Update Date | 01/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821234469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3171 (Oklahoma) | Primary |
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