Individual provider · Type 1 NPI

Ricardo Bernard Madison, B.A.

Community/Behavioral Health Agency · Oklahoma City, OK

NPI number 1104106624 Active

Practice location

1109 NE 59th St
Oklahoma City, OK 73111-7401

Call (405) 823-3737 Map

Fax (405) 748-0468

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X251B00000X (OK)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1104106624

Ricardo Bernard Madison, B.A.'s National Provider Identifier is 1104106624, issued on Aug 29, 2011. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Oklahoma City, OK. The record was last updated on Aug 29, 2011.