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112 E 7th St Chandler OK 74834-2820 | |
(405) 258-2178 | |
(405) 258-2478 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 112 E 7th St, Chandler, Oklahoma |
Authorized Official Name and Position | Allyn S Friedman (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 4054247711 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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4400 N Lincoln Blvd Oklahoma City OK 73105-5104 Ph: (405) 424-7711 | 112 E 7th St Chandler OK 74834-2820 Ph: (405) 258-2178 |
NPI Number | 1801182480 |
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Provider Enumeration Date | 06/22/2011 |
Last Update Date | 06/22/2011 |
Identifier | Type | State | Issuer |
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1801182480 | 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 | |