Organization
GRACE RIVER CHRISTIAN COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK SHORT LADC (EXECUTIVE DIRECTOR)
(405) 501-5073
Entity
Organization
Contact information
Practice address
4105 QUAIL DR, NORMAN, OK 73072-4518
(405) 501-5073
(405) 447-0739
Mailing address
4105 QUAIL DR, NORMAN, OK 73072-4518
(405) 501-5073
(405) 447-0739
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
OK
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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