# KLS CARE CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376905976
- **Authorized official:** EWANE MASANGO (OWNER)
- **Authorized official phone:** (405) 922-1257

## Contact information

- **Practice address:** 17364 STATE HIGHWAY 9, NORMAN, OK 73072-8732
- **Practice address phone:** (405) 922-1257
- **Mailing address:** 17364 STATE HIGHWAY 9, NORMAN, OK 73072-8732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2016
- **Last updated:** 03/23/2016
