Charles Smith

NPI #1952181844 in Ardmore, Oklahoma

Provider Information

NPI Number: 1952181844
Entity Type: Individual
Name: Charles Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 29, 2023
Last Updated: Aug 27, 2024

Practice Location

Address: 905 HOLIDAY DR
City: Ardmore
State: Oklahoma
ZIP Code: 73401-1216
Phone: (580) 226-5003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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