Provider Demographics
NPI:1710292867
Name:BUILDING UP PEOPLE
Entity Type:Organization
Organization Name:BUILDING UP PEOPLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:405-242-5031
Mailing Address - Street 1:4801 N CLASSEN BLVD STE 233
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-4625
Mailing Address - Country:US
Mailing Address - Phone:405-242-5031
Mailing Address - Fax:
Practice Address - Street 1:4801 N CLASSEN BLVD STE 233
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-4625
Practice Address - Country:US
Practice Address - Phone:405-242-5031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200268420Medicaid