Organization
RESTORING THE BROKENHEARTED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANETTA R SLEDGE LPC (CLINICAL DIRECTOR)
(405) 923-5933
Entity
Organization
Contact information
Practice address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 706-6081
(405) 706-6081
Mailing address
5131 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-5258
(405) 706-6081
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2017
Last updated
08/25/2017
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