| Dvis/call Rape | |
|
4300 S Harvard Ave Suite 100 Tulsa OK 74135-2619 | |
| (918) 585-3170 | |
| Not Available |
| Full Name | Dvis/call Rape |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4300 S Harvard Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Tracey Redmon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9185853170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dvis/call Rape 4300 S Harvard Ave Suite 100 Tulsa OK 74135-2619 Ph: (918) 585-3170 | Dvis/call Rape 4300 S Harvard Ave Suite 100 Tulsa OK 74135-2619 Ph: (918) 585-3170 |
| NPI Number | 1881868594 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881868594 | NPI | - | NPPES |
| 675 | Other | OK | ODMHSAS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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