Whalio Doctors

NPI 1104182633

Eagle Ridge Institute

Organisation Case Management Agency Oklahoma City, OK

Practice location

Address
601 NE 63rd St, Oklahoma City, OK 73105-6407
Phone
(405) 840-1359

Authorised official

Name
John Mayfield
Title
Executive Director
Phone
(405) 840-1359

Registered specialties

Case Management Agency Primary
Agencies Taxonomy 251B00000X Licence 7272 (OK)

Registry record

NPI
1104182633
Entity type
Organization
NPI issued
10 Apr 2012
Record last updated
10 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.