Organization
OKLAHOMA DEPARTMENT OF MENTAL AND SUBSTANCE ABUSE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD JAY GAMBLE (MENTAL HEALTH PROVIDER)
(405) 522-0318
Entity
Organization
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-0318
Mailing address
1332 N DENVER AVE, TULSA, OK 74106-4630
(918) 850-8361
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
V082812447
OK
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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