Organization
LCDA
Active
Other names
New Beguining
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSSANA MAS MED (CASE MANAGER, BHRS)
(405) 601-8075
Entity
Organization
Contact information
Practice address
2624 N ANN ARBOR AVE APT 209, OKLAHOMA CITY, OK 73127-1805
(405) 601-8075
Mailing address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
OK
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
01/24/2011
Last updated
11/14/2011
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