Organization
CORASPIRE MENTAL HEALTH AND WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDRA BLAIR (CO-OWNER)
(405) 830-5732
Entity
Organization
Contact information
Practice address
307 E DANFORTH RD, SUITE 124, EDMOND, OK 73034-4483
(405) 726-8966
(405) 726-8967
Mailing address
307 E DANFORTH RD, SUITE 124, EDMOND, OK 73034-4483
(405) 726-8966
(405) 726-8967
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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