Jim Wallace and Associates Inc
Jim Wallace and Associates Inc is a Community/Behavioral Health Agency in Lawton, Oklahoma. Registered with an NPI since 2007.
- In the registry since
- 2007
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1201 NW Arlington Ave Ste DLawton, OK 73507-6570
Phone: (580) 354-1555
Fax: (405) 665-6396
Show map & directions
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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 | 1760527824 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Wallace — Ceo Financial Administrator · (405) 665-4385 |
| Other names | The Jetty Counseling Center |
| NPI enumerated | February 20, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 202 S Washita Ave, Wynnewood, OK 73098-7820 |
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