Organization
STILLWATER DOMESTIC VIOLENCE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI WHITE MA (EXECUTIVE DIRECTOR)
(405) 372-9922
Entity
Organization
Contact information
Practice address
3800 N WASHINGTON ST, STILLWATER, OK 74075-1439
(405) 372-9922
Mailing address
3800 N WASHINGTON ST, STILLWATER, OK 74075-1439
(405) 372-9922
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/21/2024
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