Organization · NPI-2

A Blessed Child, LLC

Community/Behavioral Health · Oklahoma City, OK

NPI number1205075686
StatusActive
Last updated in NPPESFeb 9, 2009

Details

NPI
1205075686
Entity type
Organization (NPI-2)
Legal business name
A Blessed Child, LLC
Organization subpart
No
Enumeration date
Feb 9, 2009
Last updated
Feb 9, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

5909 Nw Expressway
Suite 207
Oklahoma City, OK 73132-5161

Phone 405-816-3078

Mailing address

5909 Nw Expressway
Suite 207
Oklahoma City, OK 73132-5161

Phone 405-816-3078

Authorized official

Mario D. Kirk
Clinical Director
4058163078

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