NPI 1285966747

Dr. C Professional Services, PLLC

Organisation Mental Illness Community Based Residential Treatment Facility Oklahoma City, OK

Practice location

Address: 7109 S Kentucky Ave, Oklahoma City, OK 73159-3427
Phone: (405) 601-8261
Fax: (405) 601-8261

Authorised official

Name: Charles Lynn Cavett
Title: Owner
Phone: (405) 601-8261

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 4095 (OK)

Other Community Based Residential Treatment Facility, Mental Illness providers in Oklahoma →

Registry record

NPI: 1285966747
Entity type: Organization
NPI issued: 9 Feb 2010
Record last updated: 9 Feb 2010

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.