Organization
KREATIVE BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KEITHA WYATT (CHIEF EXECUTIVE OFFICER)
(405) 254-5040
Entity
Organization
Contact information
Practice address
5929 N MAY AVE, SUITE 218, OKLAHOMA CITY, OK 73112-3909
(405) 254-5040
(405) 254-5760
Mailing address
5929 N MAY AVE, SUITE 218, OKLAHOMA CITY, OK 73112-3909
(405) 254-5040
(405) 254-5760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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