Provider Demographics
NPI:1740590918
Name:VOLUNTEERS OF AMERICA OF OKLAHOMA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA OF OKLAHOMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SELPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-307-1500
Mailing Address - Street 1:9605 E 61ST ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6308
Mailing Address - Country:US
Mailing Address - Phone:918-307-1500
Mailing Address - Fax:918-307-1520
Practice Address - Street 1:1917 S HARVARD DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-3049
Practice Address - Country:US
Practice Address - Phone:405-427-7100
Practice Address - Fax:405-427-7157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-20
Last Update Date:2010-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health