Organization
COVENANT YOUTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. E. RAY MYERS LPC (COUNSELOR)
(405) 942-0706
Entity
Organization
Contact information
Practice address
1812 N AUSTIN AVE, OKLAHOMA CITY, OK 73127-2848
(405) 942-0706
Mailing address
1812 N AUSTIN AVE, OKLAHOMA CITY, OK 73127-2848
(405) 942-0706
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
742
OK
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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