Organization
APRIL BROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL ELIZABETH BROCK (RSS)
(918) 961-8585
Entity
Organization
Contact information
Practice address
106 12TH AVE NE, MIAMI, OK 74354-3373
(918) 961-8585
Mailing address
106 12TH AVE NE, MIAMI, OK 74354-3373
(918) 961-8585
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
H082815282
OK
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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