Organization
GREATER HOPE THERAPEUTIC SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTINI IRISH (CEO)
(405) 512-3330
Entity
Organization
Contact information
Practice address
433 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-7777
(405) 512-3330
Mailing address
433 W WILSHIRE BLVD, OKLAHOMA CITY, OK 73116-7777
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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