NPIMap

Organization Active NPI

Marie Detty Youth & Family Services Center, Inc.

  • Community/Behavioral Health Agency
  • Lawton, OK
National Provider Identifier
1679694632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MARIE DETTY YOUTH & FAMILY SERVICES CENTER, INC.
Practice address
2501 SW E Ave
Lawton, OK 73505-7320
Phone
(580) 248-6450
Fax
(580) 248-6486
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Dianne Owens
Title
Executive Director
Phone
(508) 250-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X OK Primary

Addresses

Primary practice location

2501 SW E Ave
Lawton, OK 73505-7320

Mailing address

PO Box 408
Lawton, OK 73502-0408
Phone (580) 250-1123

National Provider Directory

National Provider Directory

Locations

2501 SW E Ave
Lawton, OK 73505
Phone (580) 248-6450

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679694632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735020408",
            "telephone_number": "580-250-1123",
            "fax_number": "580-248-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 SW E AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735057320",
            "telephone_number": "580-248-6450",
            "fax_number": "580-248-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE DETTY YOUTH & FAMILY SERVICES CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-250-1123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.