NPI 1801321070

April Brock

Organisation Mental Illness Community Based Residential Treatment Facility Miami, OK

Practice location

Address: 106 12th Ave NE, Miami, OK 74354-3373
Phone: (918) 961-8585

Authorised official

Name: April Elizabeth Brock
Title: Rss
Phone: (918) 961-8585

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence H082815282 (OK)

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

Registry record

NPI: 1801321070
Entity type: Organization
NPI issued: 25 Apr 2017
Record last updated: 25 Apr 2017

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.