Organization
GENERATION TRANSFORMATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDICE D PIERSON B.S., M.A. (CEO)
(405) 361-6663
Entity
Organization
Contact information
Practice address
4200 PERIMETER CENTER DR, SUITE 245, OKLAHOMA CITY, OK 73112-2324
(405) 361-6663
Mailing address
4200 PERIMETER CENTER DR, SUITE 245, OKLAHOMA CITY, OK 73112-2324
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OK
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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