Organization
HOPE REVEALED BEHAVIORAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERENA WARD M.ED., LP (EXECUTIVE DIRECTOR)
(405) 596-3833
Entity
Organization
Contact information
Practice address
2218 N KICKAPOO AVE, SHAWNEE, OK 74804-2703
(405) 596-3833
Mailing address
2218 N KICKAPOO AVE, SHAWNEE, OK 74804-2703
(405) 596-3833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4722
OK
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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