Organization
CENTAL OKLAHOMA BEHAVIORAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOHN MICHEAL DONETI M. ED, LPC (EXCUTIVE DIRECTOR)
(405) 487-0313
Entity
Organization
Contact information
Practice address
600 NW 23RD ST, SUITE 108, OKLAHOMA CITY, OK 73103-1469
(405) 487-0313
Mailing address
600 NW 23RD ST, SUITE 108, OKLAHOMA CITY, OK 73103-1469
(405) 487-0313
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
OK
Enumeration date
08/04/2010
Last updated
08/04/2010
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