| Restorer Of Youth And Families Llc | |
|
1831 E 71st St Tulsa OK 74136-3922 | |
| (918) 852-4695 | |
| (918) 205-9036 |
| Full Name | Restorer Of Youth And Families Llc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1831 E 71st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | Michael Russell Baines (ADMIN) |
| Authorized Official Contact | 9188524695 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorer Of Youth And Families Llc 5553 S Peoria Ave Ste 103 Tulsa OK 74105-6840 Ph: (918) 852-4695 | Restorer Of Youth And Families Llc 1831 E 71st St Tulsa OK 74136-3922 Ph: (918) 852-4695 |
| NPI Number | 1063036424 |
|---|---|
| Provider Enumeration Date | 06/02/2020 |
| Last Update Date | 06/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063036424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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