Immanuel714
Immanuel714 is a Community/Behavioral Health Agency in Edmond, Oklahoma. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
713 NW 142nd StEdmond, OK 73013-1924
Phone: (405) 286-0383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1750638953 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edith Washington — Ceo · (405) 286-0383 |
| NPI enumerated | August 7, 2012 |
| Last updated in NPPES | August 7, 2012 |
| Mailing address | 713 Nw 142nd St, Edmond, OK 73013-1924 |
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