Organization
A BLESSED CHILD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARIO D. KIRK LPC (CLINICAL DIRECTOR)
(405) 816-3078
Entity
Organization
Contact information
Practice address
5909 NW EXPRESSWAY, SUITE 207, OKLAHOMA CITY, OK 73132-5161
(405) 816-3078
Mailing address
5909 NW EXPRESSWAY, SUITE 207, OKLAHOMA CITY, OK 73132-5161
(405) 816-3078
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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