OrganizationActive
Family and Children Services
NPI 1114279718 · Substance Abuse Rehabilitation Facility · Tulsa, OK
Provider details
- NPI number
- 1114279718
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jack Bradberry, Case Manager(918) 378-0425
Specialties & taxonomies
Residential Treatment Facilities
Practice location
10922 E 39th St
Tulsa, OK 74146-2703
Phone: (918) 313-5250
Approximate (ZIP-level) locationGet directions
Mailing address
10922 E 39th St
Tulsa, OK 74146-2703
Registry dates
- Enumerated
- 2012-10-05
- Last updated
- 2012-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.