Organization
SHEPHERD'S RECOVERY AND COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMITOPE ROTIMI LADC/MH, LPC, ICAADC (CEO AND CLINICAL DIRECTOR)
(405) 361-5488
Entity
Organization
Contact information
Practice address
7117 E RENO AVE, MIDWEST CITY, OK 73110-4444
(405) 361-5488
Mailing address
7117 E RENO AVE, MIDWEST CITY, OK 73110-4444
(405) 361-5488
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LADC/MH/1155
OK
251S00000X
Community/Behavioral Health Agency
Primary
LADC/MH/1155
OK
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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