Organization · NPI-2

Access Wellness Center Of Oklahoma LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Oklahoma City, OK

NPI number1679138564
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1679138564
Entity type
Organization (NPI-2)
Legal business name
Access Wellness Center Of Oklahoma LLC
Organization subpart
No
Enumeration date
May 6, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Access Wellness Center (Doing Business As)

Practice location

3035 Nw 63rd St Ste 200
Oklahoma City, OK 73116-3606

Phone 405-816-7735

Mailing address

3035 Nw 63rd St Ste 200
Oklahoma City, OK 73116-3606

Phone 405-816-7735

Authorized official

Jim Hale
Manage Member
4058167735

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