Organization
IDYLL BEHAVIORAL HEALTH SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBELECHUKWU EKWENUGO NP (APRN)
(832) 848-7011
Entity
Organization
Contact information
Practice address
15004 SALEM CREEK RD, EDMOND, OK 73013-2454
(832) 848-7011
Mailing address
15004 SALEM CREEK RD, EDMOND, OK 73013-2454
(682) 521-5224
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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