Organization Name: | CHRISTIAN COUNSELING ASSOCIATES |
NPI Number: | 1003071705 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM D ROGERS (PRESIDENT/DIRECTOR) |
Mailing Address: | 501 E 15th St Suite 102 Edmond |
State: | OK US |
Postal Code: | 730135043 |
Phone Number: | 4052859880 |
Fax Number: | 4052859877 |
NPI Enumeration Date: | 07/22/2008 |
NPI Last Update Date: | 07/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |