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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUZANNE WILLIAMS (EXECUTIVE DIRECTOR)
(405) 641-5200
Entity
Organization

Contact information

Practice address
1923 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6005
(580) 207-4457
Mailing address
1923 N CLASSEN BLVD, OKLAHOMA CITY, OK 73106-6005
(580) 207-4457

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/16/2024
Last updated
05/16/2024
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