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Organization

MECCA HOUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LABEEB A. MUWWAKKIL (EXECUTIVE DIRECTOR)
(405) 427-8777
Entity
Organization

Contact information

Practice address
1322 NE 23RD ST, OKLAHOMA CITY, OK 73111-3085
(405) 427-8777
Mailing address
1322 NE 23RD ST, OKLAHOMA CITY, OK 73111-3085

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
171M00000X
Case Manager/Care Coordinator
171W00000X
Contractor
172V00000X
Community Health Worker
177F00000X
Lodging Provider

Other

Enumeration date
03/04/2010
Last updated
03/04/2010
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