NPI 1992474969

Grace Mukombe

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Norman, OK

Practice location

Address: 3400 Deskin Dr # 8295, Norman, OK 73069-8295
Phone: (405) 701-8530
Fax: (405) 701-8529
Mailing address: 820 N Emerson St, Jenks, OK 74037-3828

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oklahoma →

Registry record

NPI: 1992474969
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2021
Record last updated: 12 Sep 2021

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.