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NPI Code Detail

MEDICARE: OKLAHOMA C.A.R.T. ASSOCIATION

MEDICARE: OKLAHOMA C.A.R.T. ASSOCIATION
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1619258910
Entity Type Code : Organization
Provider Name (Legal Business Name) : OKLAHOMA C.A.R.T. ASSOCIATION
Provider Business Mailing Address
First Line : 2808 NW 31ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7407
Country : US
Telephone Number : 405-848-7555
Fax Number : 405-949-0929
Provider Business Practice Location Address
First Line : 2808 NW 31ST ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-7407
Country : US
Telephone Number : 405-848-7555
Fax Number : 405-949-0929
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. DONNA M. WOODS-BAUER
Credential : CADC
Telephone Number : 405-848-7555
Provider Enumeration Date : 08/31/2011
Last Update Date : 08/31/2011

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