Organization
KETCEN OF TULSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTY PHILLIPS (DIRECTOR OF BUSINESS AFFAIRS)
(918) 893-9240
Entity
Organization
Contact information
Practice address
9840 E 81ST ST STE 100, TULSA, OK 74133-4583
(918) 872-8162
Mailing address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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