Graduated: 2013
NPI: 1437573508
Practice Locations (2)
FAIRFAX MEDICAL FACILITIES INC
212 N MAIN ST
FAIRFAX, OK 746373023
9186423100
OKLAHOMA MENTAL HEALTH COUNCIL
4400 N LINCOLN BLVD, RED ROCK BEHAVIORAL HEALTH SERVICES
OKLAHOMA CITY, OK 731055104
4054247711
Source: CMS National Downloadable File, September 2026.