NPI | 1205301231 |
---|---|
Doing Business As | SSM HEALTH SHAWNEE BEHAVORIAL HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | CRYSTAL L PENA Insurance Credentialing Specialist 405-272-7452 |
Organization Subpart ? | No |
Primary Taxonomy | 104100000X Social Worker |
Enumeration Date | 2018-10-05 |
Last Update Date | 2018-10-05 |