Organization
LA LUZ ORGANIZATION
Active
Other names
La Luz Organization
Organization subpart
No
Provider details
NPI number
Authorized official
JAYRA CAMARENA (EXECUTIVE DIRECTOR)
(405) 724-8474
Entity
Organization
Contact information
Practice address
1140 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3918
(405) 552-1041
Mailing address
PO BOX 864, OKLAHOMA CITY, OK 73101-0864
(405) 724-8474
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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