Organization
LATINO COMMUNITY DEVELOPMENT AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA B. FENNELL M.S.W. (EXECUTIVE DIRECTOR)
(405) 236-0701
Entity
Organization
Contact information
Practice address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
(405) 236-0701
Mailing address
420 SW 10TH ST, OKLAHOMA CITY, OK 73109-5610
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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