| Northcare | |
|
2617 General Pershing Blvd Oklahoma City OK 73107-6437 | |
| (405) 858-2700 | |
| Not Available |
| Full Name | Northcare |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2617 General Pershing Blvd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Cynthia Willis (PERSONNEL & COMPLIANCE OFFICER) |
| Authorized Official Contact | 4058582700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcare Po Box 12978 Oklahoma City OK 73157-2978 Ph: () - | Northcare 2617 General Pershing Blvd Oklahoma City OK 73107-6437 Ph: (405) 858-2700 |
| NPI Number | 1386194637 |
|---|---|
| Provider Enumeration Date | 10/11/2016 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386194637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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