Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Individual Contractor

Organization Case Management Agency · NPI 1689967531

Individual Contractor is a Case Management Agency in Oklahoma City, Oklahoma. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

4711 SE 77th St
Oklahoma City, OK 73135-4544
Phone: (405) 921-3430
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Agency (primary) Taxonomy 251B00000X
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1689967531
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Crystal Walls — Behavior Rehabilitation Specialist · (405) 921-3430
NPI enumeratedMay 25, 2011
Last updated in NPPESOctober 27, 2011
Mailing address4711 Se 77th St, Oklahoma City, OK 73135-4544

Other providers in Oklahoma City