Organization
OASIS COUNSELING CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE ALLENSWORTH (OWNER/DIRECTOR)
(405) 605-3093
Entity
Organization
Contact information
Practice address
4911 N PORTLAND AVE, SUITE 111, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
(405) 601-5682
Mailing address
4911 N PORTLAND AVE, SUITE 111, OKLAHOMA CITY, OK 73112-6171
(405) 605-3093
(405) 601-5682
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200045660A
—
OK
Enumeration date
03/01/2013
Last updated
03/01/2013
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