Innovative Community Resource Specialist

NPI 1003121724 - Counselor - 101YP2500X

NPI Details
NPI 1003121724
Enumeration Date 08/18/2010
Last Updated 12/03/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LEESA LEESA
Position PRESIDENT
Phone (405) 205-8346
Fax
Practice Location
3535 NW 58TH ST STE 870E
OKLAHOMA CITY OK, 73112-4804, US
Phone (405) 205-8346
Fax
Business Location
3535 NW 58TH ST STE 870E
OKLAHOMA CITY OK, 73112-4804, US
Phone (405) 702-9032
Fax (405) 702-9031
Toxanomy
Taxonomy Code 101YP2500X
License State
License Number
Remove 1003121724 NPI Number
 

According to our database, Innovative Community Resource Specialist NPI is 1003121724, taxonomy code is 101YP2500X Innovative Community Resource Specialist physically located at 3535 Nw 58th St Ste 870e, Oklahoma City OK, 73112-4804. NPI Number 1033115704 has the healthcare provider type.

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1003121724 NPI number is provided on an as is basis without warranty of any kind. 1003121724 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Community Resource Specialist are for informational purposes only.