Provider Demographics
NPI:1215649728
Name:OKLAHOMA ALLIANCE FOR RECOVERY RESIDENCES
Entity type:Organization
Organization Name:OKLAHOMA ALLIANCE FOR RECOVERY RESIDENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLDIRON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:405-856-4789
Mailing Address - Street 1:16301 N MAY AVE
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8892
Mailing Address - Country:US
Mailing Address - Phone:405-856-4803
Mailing Address - Fax:
Practice Address - Street 1:16301 N MAY AVE
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-8892
Practice Address - Country:US
Practice Address - Phone:405-856-4803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-15
Last Update Date:2022-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging