Organization
MICHAEL E. HENDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ERIC HENDERSON (BHRS)
(580) 606-3809
Entity
Organization
Contact information
Practice address
8329 NW 28TH ST, BETHANY, OK 73008-4867
(580) 606-3809
Mailing address
8329 NW 28TH ST, BETHANY, OK 73008-4867
(580) 606-3809
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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