Organization
EBP & ME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG ALAN CARPENTER LCSW (SOLE LLC AGENT)
(405) 343-1585
Entity
Organization
Contact information
Practice address
5116 SW 126TH PL, OKLAHOMA CITY, OK 73173-8821
(405) 343-1585
Mailing address
5116 SW 126TH PL, OKLAHOMA CITY, OK 73173-8821
(405) 343-1585
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C010058
NC
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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