Project Impact Oklahoma LLC

NPI #1407154933 in Madill, Oklahoma

Provider Information

NPI Number
1407154933
Entity Type
Organization
Organization Name
Project Impact Oklahoma LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Mar 8, 2011
Last Updated
Jul 4, 2011

Practice Location

Address
102 N 1ST ST
City
Madill
ZIP Code
73446-2202
Phone
(580) 677-9406

Authorized Official

Name
MRS. CAROL SUE KIMBRO, MS, LPC
Title
VICE-PRESIDENT
Phone
(580) 677-9406

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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