NPI | 1235299645 |
---|---|
Doing Business As | PROVIDENCE OF OKLAHOMA |
Entity Type | Organization |
Authorized Contact | BREEANN MARIE HOERNING Ar And Billing Manager 520-747-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2020-08-22 |