Provider Demographics
NPI:1770751760
Name:DAYBREAK FAMILY SERVICES, LLC
Entity type:Organization
Organization Name:DAYBREAK FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-561-6000
Mailing Address - Street 1:1516 S. BOSTON AVE.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74119-4029
Mailing Address - Country:US
Mailing Address - Phone:918-561-6000
Mailing Address - Fax:918-561-6001
Practice Address - Street 1:1516 S. BOSTON AVE.
Practice Address - Street 2:SUITE 1
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74119-4029
Practice Address - Country:US
Practice Address - Phone:918-561-6000
Practice Address - Fax:918-561-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health