| Odmhasa | |
|
717 N Dillon Ave Moore OK 73160-3716 | |
| (405) 569-9448 | |
| Not Available |
| Full Name | Odmhasa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 717 N Dillon Ave, Moore, Oklahoma |
| Authorized Official Name and Position | Windi Kay Chapman (CPRSS) |
| Authorized Official Contact | 4055699448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Odmhasa 717 N Dillon Ave Moore OK 73160-3716 Ph: (405) 569-9448 | Odmhasa 717 N Dillon Ave Moore OK 73160-3716 Ph: (405) 569-9448 |
| NPI Number | 1720417587 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720417587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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