Provider Demographics
NPI:1982960167
Name:4 THE PEOPLE, INC.
Entity Type:Organization
Organization Name:4 THE PEOPLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LACEY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:405-226-2572
Mailing Address - Street 1:103 W BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:ANADARKO
Mailing Address - State:OK
Mailing Address - Zip Code:73005-2805
Mailing Address - Country:US
Mailing Address - Phone:405-247-3444
Mailing Address - Fax:405-247-3446
Practice Address - Street 1:28165 COUNTY STREET 2630
Practice Address - Street 2:
Practice Address - City:GRACEMONT
Practice Address - State:OK
Practice Address - Zip Code:73042-9557
Practice Address - Country:US
Practice Address - Phone:405-247-3444
Practice Address - Fax:405-247-3446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-02
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1048261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)