Provider Demographics
NPI:1124863303
Name:RELENTLESS RANCH INC
Entity type:Organization
Organization Name:RELENTLESS RANCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-255-5934
Mailing Address - Street 1:6530 CHOCTAW ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73090-6662
Mailing Address - Country:US
Mailing Address - Phone:405-255-5934
Mailing Address - Fax:
Practice Address - Street 1:27418 CASCARA RD
Practice Address - Street 2:
Practice Address - City:BLANCHARD
Practice Address - State:OK
Practice Address - Zip Code:73010-4183
Practice Address - Country:US
Practice Address - Phone:405-255-5934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-28
Last Update Date:2024-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty