Organization
INFANT PARENT INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA DAVENPORT LPC (EXECUTIVE DIRECTOR)
(405) 602-3171
Entity
Organization
Contact information
Practice address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 602-3171
(405) 602-3226
Mailing address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 602-3171
(405) 602-3226
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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