| Adsac Okc | |
|
11212 N May Ave Ste 107 Oklahoma City OK 73120 | |
| (405) 229-3237 | |
| Not Available |
| Full Name | Adsac Okc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 11212 N May Ave Ste 107, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Danielle J Williams (OWNER) |
| Authorized Official Contact | 4055197471 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adsac Okc Po Box 20326 Oklahoma City OK 73156-0326 Ph: (405) 229-3237 | Adsac Okc 11212 N May Ave Ste 107 Oklahoma City OK 73120 Ph: (405) 229-3237 |
| NPI Number | 1861928905 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 08/08/2020 |
| Certification Date | 08/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861928905 | NPI | - | NPPES |
| 599 | Other | OK | ADSAC ASSESSMENTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1111 (Oklahoma) | Primary |
| 101YP2500X | Counselor - Professional | 5258 (Oklahoma) | Secondary |
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