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Organization

ALPHA & OMEGA FAMILY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSHUA PAUL NICHOLS M.S. (LICENSED MARITAL & FAMILY THERAPIST)
(405) 242-5305
Entity
Organization

Contact information

Practice address
2932 NW 122ND ST, SUITE 20, OKLAHOMA CITY, OK 73120-1957
(405) 242-5305
(405) 242-5345
Mailing address
2932 NW 122ND ST, SUITE 20, OKLAHOMA CITY, OK 73120-1957
(405) 242-5305
(405) 242-5345

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
927
OK

Other

Enumeration date
11/05/2009
Last updated
11/05/2009
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