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Organization
OUR HOUSE MHSA INC
Active
Organization
OUR HOUSE MHSA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEWELL BREWER (CHIEF OPERATING OFFICER)
(580) 699-8000
Entity
Organization
Contact information
Practice address
2305 SW H AVE, LAWTON, OK 73505-8103
(580) 699-8000
(580) 699-2437
Mailing address
2305 SW H AVE STE 1, LAWTON, OK 73505-8103
(580) 699-8000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/15/2016
Last updated
12/29/2023
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