| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1605 E 1st St., Chandler, Oklahoma |
| Authorized Official Name and Position | Allyn S Friedman (CHIEF EXECTIVE OFFICER) |
| Authorized Official Contact | 4054250355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 | 1605 E 1st St. Chandler OK 74834 Ph: (405) 258-2159 |
| NPI Number | 1457568719 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457568719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Gateway To Prevention & Recovery Chandler Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 W 1st St, Chandler, OK 74834 Phone: 405-273-1170 Fax: 405-241-6447 | |