I.d.

NPI 1124317680 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1124317680
Enumeration Date 04/05/2011
Last Updated 04/05/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KEITH KEITH
Position CEO
Phone (405) 243-4252
Fax
Practice Location
1330 N CLASSEN BLVD
SUITE 313
OKLAHOMA CITY OK, 73106-6835, US
Phone (405) 243-4252
Fax
Business Location
1330 N CLASSEN BLVD
SUITE 313
OKLAHOMA CITY OK, 73106-6835, US
Phone (405) 243-4252
Fax
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
Remove 1124317680 NPI Number
 

According to our database, I.d. NPI is 1124317680, taxonomy code is 251S00000X I.d. physically located at 1330 N Classen Blvd, Oklahoma City OK, 73106-6835. NPI Number 1033115704 has the healthcare provider type.

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1124317680 NPI number is provided on an as is basis without warranty of any kind. 1124317680 is maintained by the National Plan & Provider Enumeration System. The contents of I.d. are for informational purposes only.