Organization
STATE OF OKLAHOMA DEPARTMENT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOHNSON JR. (PROGRAMS MANGER)
(405) 521-3565
Entity
Organization
Contact information
Practice address
2400 N LINCOLN BLVD, OKLAHOMA CITY, OK 73105-4601
(405) 521-3565
(405) 521-4158
Mailing address
PO BOX 25352, OKLAHOMA CITY, OK 73125-0352
(405) 521-4158
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/09/2009
Last updated
07/09/2009
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