Organization
GRAVEL ROAD MENTAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARI GRAVEL LCSW (MEMBER)
(405) 394-5298
Entity
Organization
Contact information
Practice address
9905 S PENNSYLVANIA AVE STE A, OKLAHOMA CITY, OK 73159-6920
(405) 394-5298
Mailing address
PO BOX 904, MAUD, OK 74854-0904
(405) 394-5298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
08/18/2022
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