Organization
GANESAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MENA GANESAN LCSW (CEO)
(405) 627-9263
Entity
Organization
Contact information
Practice address
2242 NW 39TH ST, OKLAHOMA CITY, OK 73112-8884
(405) 627-9263
Mailing address
2701 N WALKER AVE, OKLAHOMA CITY, OK 73103-1326
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
08/23/2024
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