Organization
OUTREACH COMMUNITY COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANDRE DOCKINS (CEO)
(405) 922-0020
Entity
Organization
Contact information
Practice address
429 W WILSHIRE BLVD, STE A, OKLAHOMA CITY, OK 73116-7745
(405) 922-0020
Mailing address
429 W WILSHIRE BLVD, STE A, OKLAHOMA CITY, OK 73116-7745
(405) 922-0020
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
06/20/2018
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