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Wesleyan Youth Inc.
Emotionally Disturbed Childrens' Residential Treatment Facility in Lawton, Oklahoma
NPI 1790963445

Wesleyan Youth Inc. is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Oklahoma City, OK. Wesleyan Youth Inc. practices in Lawton, OK. The NPI Number for Wesleyan Youth Inc. is 1790963445 and holds a License No. K8600030 (Oklahoma).

The current practice location address for Wesleyan Youth Inc. is 605 Sw B Ave, Lawton, OK and can be reached out via phone at 405-524-4457 and via fax at 405-524-5762.

Location: 605 Sw B Ave, Lawton, OK, 73118-4834
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790963445
Provider Name
Wesleyan Youth Inc.
Credential
Provider Entity Type
Organization
Address
605 Sw B Ave, Lawton, OK, 73118-4834
Phone Number
405-524-4457
Fax Number
405-524-5762
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1008033130D 05 OK
institution
Provider Business Practice Location Address Details
Address
605 Sw B Ave
City
Lawton
State
Oklahoma
Zip
73501-3962
Phone Number
405-524-4457
Fax Number
405-524-5762
person
Provider Business Mailing Address Details
Address
605 Sw B Ave
City
Lawton
State
Oklahoma
Zip
73501-3962
Phone Number
405-524-4457
Fax Number
405-524-5762
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
K8600030 (Oklahoma)
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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