Provider Demographics
NPI:1942399654
Name:NEW DAY RECOVERY YOUTH AND FAMILY SERVICES INC
Entity Type:Organization
Organization Name:NEW DAY RECOVERY YOUTH AND FAMILY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:E
Authorized Official - Last Name:NSIKAK
Authorized Official - Suffix:
Authorized Official - Credentials:MHR LPCC LADCC
Authorized Official - Phone:405-525-0452
Mailing Address - Street 1:4420 N LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73105-5104
Mailing Address - Country:US
Mailing Address - Phone:405-525-0452
Mailing Address - Fax:405-525-0514
Practice Address - Street 1:4420 N LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105-5104
Practice Address - Country:US
Practice Address - Phone:405-525-0452
Practice Address - Fax:405-525-0514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251B00000XAgenciesCase Management
Not Answered251S00000XAgenciesCommunity/Behavioral Health