Hope Revealed Behavioral Health Center

NPI 1053741157 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1053741157
Enumeration Date 11/26/2013
Last Updated 11/26/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SERENA SERENA
Position EXECUTIVE DIRECTOR
Phone (405) 596-3833
Fax
Practice Location
2218 N KICKAPOO AVE
SHAWNEE OK, 74804-2703, US
Phone (405) 596-3833
Fax
Business Location
2218 N KICKAPOO AVE
SHAWNEE OK, 74804-2703, US
Phone (405) 596-3833
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Oklahoma
License Number 4722
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According to our database, Hope Revealed Behavioral Health Center NPI is 1053741157, taxonomy code is 251S00000X and license number is 4722, license state is located at Oklahoma. Hope Revealed Behavioral Health Center physically located at 2218 N Kickapoo Ave, Shawnee OK, 74804-2703. NPI Number 1033115704 has the healthcare provider type.

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1053741157 NPI number is provided on an as is basis without warranty of any kind. 1053741157 is maintained by the National Plan & Provider Enumeration System. The contents of Hope Revealed Behavioral Health Center are for informational purposes only.