Organization · Type 2 NPI

Kendra Burnside LCSW Inc PC

Community/Behavioral Health Agency · Ada, OK

NPI number 1316196405 Active

Practice location

2100 N Broadway Ave
Ada, OK 74820-1048

Fax (580) 436-7121

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XLCSW (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 1316196405

Kendra Burnside LCSW Inc PC's National Provider Identifier is 1316196405, issued on Sep 12, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Ada, OK. The record was last updated on Sep 12, 2008.