Organization
HERITAGE THERAPEUTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANA AGGREH (OFFICE ADMINISTRATOR)
(405) 638-8128
Entity
Organization
Contact information
Practice address
3600 W MAIN ST STE 150, NORMAN, OK 73072-4648
(405) 638-8128
Mailing address
3600 W MAIN ST STE 150, NORMAN, OK 73072-4648
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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