Organization
PROMISE FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELENA MELANESE PARKS (CEO/OWNER)
(405) 431-0232
Entity
Organization
Contact information
Practice address
5350 S WESTERN AVE, SUITE 305, OKLAHOMA CITY, OK 73109-4520
(405) 209-3311
Mailing address
5350 S WESTERN AVE, SUITE 305, OKLAHOMA CITY, OK 73109-4520
(405) 209-3311
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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