IMMANUEL714

EDMOND, OK
NPI1750638953
Entity TypeOrganization
Authorized ContactEDITH C WASHINGTON
CEO
405-286-0383
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2012-08-07
Last Update Date2012-08-07
Business Address
IMMANUEL714
713 NW 142ND ST
EDMOND, OK 73013-1924
Phone number: 405-286-0383
Mailing Address
IMMANUEL714
713 NW 142ND ST
EDMOND, OK 73013-1924
Phone number: 405-286-0383
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