NPI | 1124561113 |
---|---|
Doing Business As | ECLIPSE MENTAL HEALTH SERVICES |
Other Name | ECLIPSE MENTAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | DUSTIN O'LEATH HAYES President 918-940-4734 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 208D00000X General Practice (Licence: OK 5382) |
Enumeration Date | 2016-11-23 |
Last Update Date | 2020-04-06 |