NPI 1194513960
A Braver Space LLC
Practice location
- Address
- Psc 462 Box 91, Apo, AE 09044-0001
- Phone
- (405) 774-9800
- Mailing address
- 6608 N Western Ave # 1728, Oklahoma City, OK 73116-7326
Authorised official
- Name
- Gayle Clark
- Title
- Owner
- Phone
- (405) 774-9800
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1194513960
- Entity type
- Organization
- NPI issued
- 30 Apr 2025
- Record last updated
- 4 Feb 2026
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.