NPI 1427423565

Occic

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

Practice location

Address: 2625 General Pershing Boulevard, Oklahoma City, OK 73107
Phone: (405) 887-3190

Authorised official

Name: Deneka Cain
Title: Execudirector
Phone: (405) 945-6230

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence Y000013649 (OK)

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

Registry record

NPI: 1427423565
Entity type: Organization
NPI issued: 1 Dec 2015
Record last updated: 1 Dec 2015

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.