Organization
DEPARTMENT OF MENTAL HEALTH AND SUBSTANCE ABUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN ZACHARY OTOTIVO B.A. (TRIAGE SPECIALIST ASSISTANT)
(405) 360-5100
Entity
Organization
Contact information
Practice address
103 GIBBS, NORMAN, OK 73072
(405) 360-5100
(405) 573-3966
Mailing address
103 GIBBS, NORMAN, OK 73072
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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