Provider Demographics
NPI:1699009811
Name:DAYBREAK FAMILY SERVICES
Entity Type:Organization
Organization Name:DAYBREAK FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFF
Authorized Official - Middle Name:CONLEY
Authorized Official - Last Name:TUNNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-232-0234
Mailing Address - Street 1:2 E BROADWAY ST
Mailing Address - Street 2:A
Mailing Address - City:SAND SPRINGS
Mailing Address - State:OK
Mailing Address - Zip Code:74063-7629
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 E BROADWAY ST
Practice Address - Street 2:A
Practice Address - City:SAND SPRINGS
Practice Address - State:OK
Practice Address - Zip Code:74063-7629
Practice Address - Country:US
Practice Address - Phone:918-514-4029
Practice Address - Fax:918-514-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2009-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health