Organization
MENTAL HEALTH RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY JOY JONES (REHAB SPECIALIST)
(405) 605-0398
Entity
Organization
Contact information
Practice address
2201 NW 122ND ST APT 513, OKLAHOMA CITY, OK 73120-8405
(405) 605-0398
Mailing address
2201 NW 122ND ST APT 513, OKLAHOMA CITY, OK 73120-8405
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
082760801
OK
Other
Enumeration date
06/01/2010
Last updated
04/28/2012
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