Organization · Type 2 NPI
Modern Mental Health
Mental Health Clinic/Center (Including Community Mental Health Center) · Broken Arrow, OK
NPI number
1700390671
Active
Practice location
609 S Redwood Ave
Broken Arrow, OK 74012-4516
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1700390671
Modern Mental Health's National Provider Identifier is 1700390671, issued on Nov 29, 2017. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Broken Arrow, OK. The record was last updated on Nov 29, 2017.