Organization
AWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA BARRETT BS,CPRSS (ADMINISTRATOR)
(405) 820-1533
Entity
Organization
Contact information
Practice address
35049 E 120-5, EARLSBORO, OK 74840-8600
(405) 820-1533
Mailing address
35049 E 120-5, EARLSBORO, OK 74840-8600
(405) 820-1533
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
10/06/2011
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