Organization
C.A.R.E FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MCPHERSON (CEO)
(405) 524-5525
Entity
Organization
Contact information
Practice address
930 S BOULEVARD APT 208, EDMOND, OK 73034-4714
(419) 378-2485
Mailing address
930 S BOULEVARD APT 208, EDMOND, OK 73034-4714
(419) 378-2485
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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