Organization
MID-DEL YOUTH AND FAMILY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY WENTE LCSW (EXEC. DIRECTOR)
(405) 733-5437
Entity
Organization
Contact information
Practice address
316 S MIDWEST BLVD, MIDWEST CITY, OK 73110-4642
(405) 733-5437
Mailing address
1610 BLUE LAKE DR, NORMAN, OK 73069-8053
(405) 889-9526
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
12/22/2011
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