| NPI | 1407916802 |
|---|---|
| Doing Business As | PROVIDENCE OF OKLAHOM |
| 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 |