Individual provider · Type 1 NPI
Jessica Lynn Wallace
Community/Behavioral Health Agency · Muse, OK
Practice location
26652 Muse Road
Muse, OK 74949
Mailing address
Box 26652 St. Hwy. 63
Hodgen, OK 74939
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency Primary | 251S00000X | None 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…
Another provider at this address
About NPI 1659637478
Jessica Lynn Wallace's National Provider Identifier is 1659637478, issued on Apr 5, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Muse, OK. The record was last updated on Apr 5, 2012.