Provider Demographics
NPI:1609170935
Name:BRIGGS THERAPEUTIC CHILD CARE DEVELOPMENT, INC
Entity type:Organization
Organization Name:BRIGGS THERAPEUTIC CHILD CARE DEVELOPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:405-509-6703
Mailing Address - Street 1:425 FRETZ AVE STE EF
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5532
Mailing Address - Country:US
Mailing Address - Phone:405-509-6703
Mailing Address - Fax:
Practice Address - Street 1:1211 N SHARTEL AVE STE 600
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2433
Practice Address - Country:US
Practice Address - Phone:405-521-8635
Practice Address - Fax:405-521-8652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-30
Last Update Date:2010-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization