| 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 |