Groundwork First Family Development Institute, Llc | |
219 N Broadway St Tecumseh OK 74873-3227 | |
(405) 326-2256 | |
Not Available |
Full Name | Groundwork First Family Development Institute, Llc |
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Speciality | Community/behavioral Health |
Location | 219 N Broadway St, Tecumseh, Oklahoma |
Authorized Official Name and Position | Mary D Looman (OWNER) |
Authorized Official Contact | 4053262256 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Groundwork First Family Development Institute, Llc 3334 W Main St #293 Norman OK 73072-4805 Ph: (405) 326-2256 | Groundwork First Family Development Institute, Llc 219 N Broadway St Tecumseh OK 74873-3227 Ph: (405) 326-2256 |
NPI Number | 1144653056 |
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Provider Enumeration Date | 08/14/2013 |
Last Update Date | 08/14/2013 |
Identifier | Type | State | Issuer |
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1144653056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 1727 (Oklahoma) | Primary |
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