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General NPI Number Information
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NPI Number | 1871316414
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Entity Type | Organization
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Legal Business Name | SAFEHARBOR BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 2510 E 15TH ST # C716
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City | TULSA
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State | OK
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Zip | 74104-4634
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Country | US
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Telephone | 539-217-0332
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Fax |
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Provider Business Mailing Address
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Address Line | 1833 S MORGAN RD
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City | OKLAHOMA CITY
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State | OK
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Zip | 73128-7004
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. ADAM JAMES
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Credential |
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Telephone | 419-329-0947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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