Organization
FRESH START COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTWAINE DARNELL CLAYTON M.S. BHRS (PSYCHOSOCIAL REHABILITATION SPECIAL)
(405) 274-3025
Entity
Organization
Contact information
Practice address
509 NW 113TH ST, OKLAHOMA CITY, OK 73114-6808
(405) 286-3482
Mailing address
4801 N CLASSEN BLVD, SUITE 159, OKLAHOMA CITY, OK 73118-4627
(405) 607-6670
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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