Provider Demographics
NPI:1881372027
Name:THE ARK OF DREAMS FOUNDATION
Entity type:Organization
Organization Name:THE ARK OF DREAMS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MBA, MSM & DSL
Authorized Official - Phone:539-525-5883
Mailing Address - Street 1:4511 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74135-4301
Mailing Address - Country:US
Mailing Address - Phone:539-525-5883
Mailing Address - Fax:
Practice Address - Street 1:4511 E 55TH ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74135-4301
Practice Address - Country:US
Practice Address - Phone:539-525-5883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
No251B00000XAgenciesCase Management