Organization
DEBERRY INTERPRISE
Active
Other names
NOAH ARK
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANN DEBERRY BACHELOR DEGREE (DIRECTOR)
(405) 259-8400
Entity
Organization
Contact information
Practice address
9233 NORTH EAST10TH STREET, MIDWEST CITY, OK 73130
(405) 549-9061
Mailing address
PO BOX 102, CHOCTAW, OK 73020-0102
(405) 549-9061
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/26/2012
Last updated
01/26/2012
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