Addiction & Behavioral Health Specialist Incorporated | |
2905 S Harr Dr Ste 103 Midwest City OK 73110-3049 | |
(405) 568-2744 | |
Not Available |
Full Name | Addiction & Behavioral Health Specialist Incorporated |
---|---|
Speciality | Community/behavioral Health |
Location | 2905 S Harr Dr Ste 103, Midwest City, Oklahoma |
Authorized Official Name and Position | Nicole Brown (CEO/THERAPIST) |
Authorized Official Contact | 4055682744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Addiction & Behavioral Health Specialist Incorporated Po Box 94872 Oklahoma City OK 73143-4872 Ph: (405) 568-2744 | Addiction & Behavioral Health Specialist Incorporated 2905 S Harr Dr Ste 103 Midwest City OK 73110-3049 Ph: (405) 568-2744 |
NPI Number | 1962958900 |
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Provider Enumeration Date | 08/30/2016 |
Last Update Date | 08/30/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962958900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 4666 (Oklahoma) | Primary |
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