Organization · Type 2 NPI

Minor W Gordon PH D PC

Community/Behavioral Health Agency · Tulsa, OK

NPI number 1740466200 Active

Practice location

3223 E 31st St
Tulsa, OK 74105-2452

Call (918) 747-5308 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X309 (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 1740466200

Minor W Gordon PH D PC's National Provider Identifier is 1740466200, issued on Jan 15, 2008. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tulsa, OK. The record was last updated on Jan 15, 2008.