Provider Demographics
NPI:1770818544
Name:DAYBREAK FAMILY SERVICES
Entity Type:Organization
Organization Name:DAYBREAK FAMILY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:DE DONATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-340-6174
Mailing Address - Street 1:1516 S BOSTON AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4003
Mailing Address - Country:US
Mailing Address - Phone:918-561-6001
Mailing Address - Fax:
Practice Address - Street 1:1516 S BOSTON AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4003
Practice Address - Country:US
Practice Address - Phone:918-561-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-12
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health