Organization
ODMHSAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLI RAYLYNN REID LADC, CBHCM (DIRECTOR, FIELD SERVICES)
(405) 522-0080
Entity
Organization
Contact information
Practice address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-0080
(405) 522-3767
Mailing address
1200 NE 13TH ST, OKLAHOMA CITY, OK 73117-1022
(405) 522-0080
(405) 522-3767
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
581
OK
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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