Provider Demographics
NPI:1750570370
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 1:5151 E 51ST ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-7457
Mailing Address - Country:US
Mailing Address - Phone:918-637-2285
Mailing Address - Fax:
Practice Address - Street 1:9605 E 61ST ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6308
Practice Address - Country:US
Practice Address - Phone:918-307-1500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health