NPI | 1669236162 |
---|---|
Doing Business As | REACH OUT STREET MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | DEBRA MCCULLOCK Founder, Executive Director 405-266-1262 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2024-02-06 |
Last Update Date | 2024-02-06 |