Organization
MTB MANAGEMENT, LLC,
Active
Other names
Responsive Individual & Family Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARKUS T BRUNER (CHIEF EXECUTIVE MANAGER)
(405) 605-2292
Entity
Organization
Contact information
Practice address
1330 N CLASSEN BLVD STE G50, OKLAHOMA CITY, OK 73106-6845
(405) 605-2292
(405) 605-2266
Mailing address
P.O BOX 53182, OKLAHOMA CITY, OK 73152
(405) 605-2292
(405) 605-2266
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
OK
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/07/2011
Last updated
07/21/2011
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