Odmhsas

NPI #1942678388 in Vinita, Oklahoma

Provider Information

NPI Number
1942678388
Entity Type
Organization
Organization Name
Odmhsas
Primary Specialty
Community/Behavioral Health
Enumeration Date
Sep 2, 2015
Last Updated
Sep 2, 2015

Practice Location

Address
405 E EXCELSIOR AVE
City
Vinita
ZIP Code
74301-4226
Phone
(918) 256-6476

Authorized Official

Name
DOMINQUE M LEE
Title
RSS
Phone
(918) 915-0309

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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