Organization
FRESH START COUNSELING SERVICES
Active
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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