Organization · Type 2 NPI

Integrated Renegade, LLC

Community/Behavioral Health Agency · Glenpool, OK

NPI number 1366223265 Active

Practice location

1264 E 139th Pl
Glenpool, OK 74033-3125

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

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…

About NPI 1366223265

Integrated Renegade, LLC's National Provider Identifier is 1366223265, issued on Oct 9, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Glenpool, OK. The record was last updated on Oct 9, 2023.