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1215878053 NPI number — CHURCH OF THE WAYWARD SOULS DBA WAYWARD COMMUNITY CASE MANAGMENT

NPI Number: 1215878053
Health Care Provider/Practitioner: CHURCH OF THE WAYWARD SOULS DBA WAYWARD COMMUNITY CASE MANAGMENT

Information about “1215878053” NPI (CHURCH OF THE WAYWARD SOULS DBA WAYWARD COMMUNITY CASE MANAGMENT) exists in 1215878053 in HTML format HTML  |  1215878053 in plain Text format TXT  |  1215878053 in PDF (Portable Document Format) PDF  |  1215878053 in an XML format XML  formats.

NPI Number : 1215878053 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1215878053",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CHURCH OF THE WAYWARD SOULS DBA WAYWARD COMMUNITY CASE MANAGMENT",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "637 WELSTON CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORMAN",
    "MailingAddressStateName": "OK",
    "MailingAddressPostalCode": "73071-4108",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "405-246-8262",
    "MailingAddressFaxNumber": "405-246-8262",
    "FirstLinePracticeLocationAddress": "637 WELSTON CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NORMAN",
    "PracticeLocationAddressStateName": "OK",
    "PracticeLocationAddressPostalCode": "73071-4108",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "405-246-8262",
    "PracticeLocationAddressFaxNumber": "405-246-8262",
    "EnumerationDate": "04/04/2026",
    "LastUpdateDate": "04/04/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARSH",
    "AuthorizedOfficialFirstName": "MICHEAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "405-246-8262",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251B00000X",
        "TaxonomyName": "Case Management Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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