NPI | 1053368159 |
---|---|
Doing Business As | SSM HEALTH MEDICAL GROUP - BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | SHASTA RENE MANUEL Regional Vice President Finance/CFO 405-272-7282 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2025-05-13 |