Organization
EAGLE RIDGE
Active
Organization
EAGLE RIDGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMIE JAMES (BHRS)
(405) 473-1231
Entity
Organization
Contact information
Practice address
601 NE 63RD ST, OKLAHOMA CITY, OK 73105-6407
(405) 840-1359
Mailing address
7709 NW 113TH PL, OKLAHOMA CITY, OK 73162-2542
(405) 473-1231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L
OK
Other
Enumeration date
01/31/2012
Last updated
07/21/2022
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