Organization
ALCOHOL TRAINING & EDUCATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARA DENAE TAYLOR (PUBLIC RELATIONS)
(405) 943-7483
Entity
Organization
Contact information
Practice address
3160 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6744
(405) 943-7483
(405) 943-7984
Mailing address
3160 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-6744
(405) 943-7483
(405) 943-7984
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1004AD
OK
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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