Jim Wallace and Associates Inc.

NPI #1194860247 in Ardmore, Oklahoma

Provider Information

NPI Number: 1194860247
Entity Type: Organization
Organization Name: Jim Wallace and Associates Inc.
Primary Specialty: Community/Behavioral Health
Enumeration Date: Feb 20, 2007
Last Updated: Sep 8, 2021

Practice Location

Address: 925 15TH AVE NW
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1809
Phone: (580) 224-2830

Authorized Official

Name: MS. TERESA GALE RUE-WALLACE, MASTERS SCIENCE
Title: OWNER/CEO/PRESIDENT/EXEC. DIRECTOR
Phone: (405) 306-8511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X	Primary

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