NPI 1912266644

Ywca

Organisation Exclusive Provider Organization Enid, OK

Practice location

Address: 525 S Qunicy, Enid, OK 73702
Phone: (580) 747-4878
Mailing address: 112 S. Hoover, Enid, OK 73702

Authorised official

Name: Kelly Sue Amos
Title: Victim Advocate
Phone: (580) 234-7581

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 302F00000X (OK)

Other Exclusive Provider Organization providers in Oklahoma →

Registry record

NPI: 1912266644
Entity type: Organization
NPI issued: 15 May 2012
Record last updated: 15 May 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.