Community Impact Youth & Family Services

NPI 1124311485 - Case Management - 251B00000X

NPI Details
NPI 1124311485
Enumeration Date 05/19/2011
Last Updated 05/19/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LARRENDA DEANEISHA LARRENDA
Position THERAPIST
Phone (405) 863-5724
Fax
Practice Location
4209 NW 23RD ST.
SUITE 100
OKLAHOMA CITY OK, 73107, US
Phone (405) 863-5724
Fax
Business Location
PO BOX 95751
OKLAHOMA CITY OK, 73143-5751, US
Phone (405) 863-5724
Fax
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1124311485 NPI Number
 

According to our database, Community Impact Youth & Family Services NPI is 1124311485, taxonomy code is 251B00000X Community Impact Youth & Family Services physically located at 4209 Nw 23rd St., Oklahoma City OK, 73107. NPI Number 1033115704 has the healthcare provider type.

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1124311485 NPI number is provided on an as is basis without warranty of any kind. 1124311485 is maintained by the National Plan & Provider Enumeration System. The contents of Community Impact Youth & Family Services are for informational purposes only.