Organization
KREATIVE BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITHA D WYATT LCSW (CEO)
(405) 642-4871
Entity
Organization
Contact information
Practice address
5929 N MAY AVE, SUITE 218, OKLAHOMA CITY, OK 73112-3909
(405) 254-5040
Mailing address
5929 N MAY AVE, SUITE 218, OKLAHOMA CITY, OK 73112-3909
(405) 254-5040
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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