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NPI 1356691349 · Community/Behavioral Health Agency · Oklahoma City, OK
Provider details
- NPI number
- 1356691349
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Robert Wagner, Director(405) 606-8886
Specialties & taxonomies
Agencies
Practice location
1330 N Classen Blvd
Stu 104
Oklahoma City, OK 73106-6835
Phone: (405) 606-8886
Approximate (ZIP-level) locationGet directions
Mailing address
1330 N Classen Blvd
Oklahoma City, OK 73106-6835
Registry dates
- Enumerated
- 2012-09-17
- Last updated
- 2012-09-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.