Provider Demographics
NPI:1376848051
Name:NEW GENERATION THERAPY, LLC
Entity Type:Organization
Organization Name:NEW GENERATION THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-629-9570
Mailing Address - Street 1:105 E PEKIN AVE
Mailing Address - Street 2:
Mailing Address - City:MORRIS
Mailing Address - State:OK
Mailing Address - Zip Code:74445-2233
Mailing Address - Country:US
Mailing Address - Phone:918-629-9570
Mailing Address - Fax:
Practice Address - Street 1:105 E PEKIN AVE
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:OK
Practice Address - Zip Code:74445-2233
Practice Address - Country:US
Practice Address - Phone:918-629-9570
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities