| Faith Values Community Outreach And Counseling Services, Inc | |
|
3945 Se 15th St Suite 107 Del City OK 73115-2249 | |
| (405) 208-8886 | |
| Not Available |
| Full Name | Faith Values Community Outreach And Counseling Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3945 Se 15th St, Del City, Oklahoma |
| Authorized Official Name and Position | Majorie Miles (ADM. DIRECTOR) |
| Authorized Official Contact | 4058856277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faith Values Community Outreach And Counseling Services, Inc 3945 Se 15th St Suite 107 Del City OK 73115-2249 Ph: (405) 208-8886 | Faith Values Community Outreach And Counseling Services, Inc 3945 Se 15th St Suite 107 Del City OK 73115-2249 Ph: (405) 208-8886 |
| NPI Number | 1699191882 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699191882 | NPI | - | NPPES |
| 1669191882 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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