Organization
MILLENNIUM COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WADE HAMIL PHD (CEO)
(405) 627-0276
Entity
Organization
Contact information
Practice address
448 36TH AVE NW, SUITE 101, NORMAN, OK 73072-4746
(405) 573-9905
(405) 701-0590
Mailing address
507 DEWEY AVE, POTEAU, OK 74953-4215
(918) 649-0172
(888) 753-8162
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0785
OK
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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