Organization
HIP-ENTERPRIZES LTD
Active
Other names
HUMAN INTERACTION PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRWIN HALL III PH,D (DIRECTOR)
(405) 447-6188
Entity
Organization
Contact information
Practice address
505 NE 12TH ST, MOORE, OK 73160-5807
(405) 447-6188
(405) 735-5265
Mailing address
505 NE 12TH ST, MOORE, OK 73160-5807
(405) 447-6188
(405) 735-5265
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC673
OK
Other
Enumeration date
08/28/2007
Last updated
07/08/2008
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