Organization
INTEGRIS BAPTIST MEDICAL CENTER INC
Active
Other names
INTEGRIS Decisions Mental Health and Addiction Recovery Programs
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WEED (VP)
(405) 951-2737
Entity
Organization
Contact information
Practice address
3525 NW 56TH ST STE 150A, OKLAHOMA CITY, OK 73112-4548
(405) 717-9840
Mailing address
PO BOX 268907, OKLAHOMA CITY, OK 73126-8907
(405) 717-9840
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
2290
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100806400B
—
OK
Enumeration date
11/15/2006
Last updated
07/02/2021
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