COLLINS C ONU

OKLAHOMA CITY, OK
NPI1740573492
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2011-05-26
Last Update Date2011-05-26
Business Address
-- COLLINS C ONU LADC (under super)
11440 WALTERS AVE
OKLAHOMA CITY, OK 73162-1315
Phone number: 405-728-0525
Mailing Address
-- COLLINS C ONU LADC (under super)
11440 WALTERS AVE
OKLAHOMA CITY, OK 73162-1315
Phone number: 405-728-0525