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NPI Code Detail

MEDICARE: OKLAHOMA COUNTY CRISIS INTERVENTION CENTER

MEDICARE: OKLAHOMA COUNTY CRISIS INTERVENTION CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0002XEmergency Care Clinic/Center
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number : 1427151521
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA COUNTY CRISIS INTERVENTION CENTER
Provider Business Mailing Address
First Line : 2000 N CLASSEN BLVD
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73106-6016
Country : US
Telephone Number : 405-248-9089
Fax Number :
Provider Business Practice Location Address
First Line : 2625 GENERAL PERSHING
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-3277
Country : US
Telephone Number : 405-942-2300
Fax Number : 405-942-2303
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. LAUREN STOVER
Credential : LADC/MH
Telephone Number : 405-795-6893
Provider Enumeration Date : 09/06/2006
Last Update Date : 10/19/2023

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Directions to “OKLAHOMA COUNTY CRISIS INTERVENTION CENTER ” Practice Location

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