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Organization

INTEGRATED COMPREHENSIVE HEALTH CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY HOPE HANSARD NONE (CEO)
(405) 843-7300
Entity
Organization

Contact information

Practice address
4801 N CLASSEN BLVD, SUITE 122, OKLAHOMA CITY, OK 73118-4627
(405) 843-7300
Mailing address
4801 N CLASSEN BLVD, SUITE 122, OKLAHOMA CITY, OK 73118-4627
(405) 843-7300

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
200406740A
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200406740A
OK
Enumeration date
10/29/2012
Last updated
10/29/2012
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