Individual
JUAN M DILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BHCM I, C-PRSS
Contact information
Practice address
1120 E MAIN ST, NORMAN, OK 73071-5300
(405) 573-3812
Mailing address
819 N KEY BLVD, MIDWEST CITY, OK 73110-5404
(405) 401-3249
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
05/16/2023
Last updated
10/02/2023
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