Provider Demographics
NPI:1558582858
Name:AID FOR INDIVIDUAL DEVELOPMENT INC
Entity Type:Organization
Organization Name:AID FOR INDIVIDUAL DEVELOPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-943-2346
Mailing Address - Street 1:2805 N UTAH AVE
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73107-1217
Mailing Address - Country:US
Mailing Address - Phone:405-943-2346
Mailing Address - Fax:406-943-0011
Practice Address - Street 1:2805 N UTAH AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73107-1217
Practice Address - Country:US
Practice Address - Phone:405-943-2346
Practice Address - Fax:406-943-0011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities