Organization
THE PLAY PLACE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKKIE JO DUNNIGAN LPC (DIRECTOR)
(405) 564-4248
Entity
Organization
Contact information
Practice address
121 S MAIN ST, STILLWATER, OK 74074-3519
(405) 564-4248
Mailing address
1806 W 18TH CT, STILLWATER, OK 74074-6801
(405) 564-4248
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5773
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200451940B
—
OK
Enumeration date
08/26/2015
Last updated
09/16/2015
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