Provider Demographics
NPI:1851921522
Name:CENTRAL FOCUS LLC
Entity Type:Organization
Organization Name:CENTRAL FOCUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-448-5301
Mailing Address - Street 1:13792 SE 1000 AVE
Mailing Address - Street 2:
Mailing Address - City:TUSKAHOMA
Mailing Address - State:OK
Mailing Address - Zip Code:74574-1368
Mailing Address - Country:US
Mailing Address - Phone:918-448-5301
Mailing Address - Fax:
Practice Address - Street 1:103 W MAIN ST
Practice Address - Street 2:
Practice Address - City:WILBURTON
Practice Address - State:OK
Practice Address - Zip Code:74578-4043
Practice Address - Country:US
Practice Address - Phone:918-465-7890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health