Organization
MILLENNIUM COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY WAUGH (HUMAN RESOURCE MANAGER)
(918) 649-0172
Entity
Organization
Contact information
Practice address
23 N 8TH ST, DUNCAN, OK 73533-4601
(888) 573-7792
Mailing address
3816 SHADOWRIDGE DR, NORMAN, OK 73072-5308
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200129170
—
OK
Enumeration date
04/21/2020
Last updated
04/21/2020
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