Organization
OKLAHOMA MENTAL HEALTH COUNCIL
Active
Other names
Red Rock Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANGI MAXWELL-DUVERGER (MANAGER, CREDENTIALING)
(405) 425-0428
Entity
Organization
Contact information
Practice address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
(405) 425-0343
Mailing address
4400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-5104
(405) 424-7711
(405) 425-0343
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
LICENSES NOT ISSUED
OK
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LICENSES NOT ISSUED
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100635250C
—
OK
Enumeration date
06/10/2006
Last updated
05/02/2022
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