GRACE MUKOMBE

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1992474969

Practice Address

3400 DESKIN DR # 8295
Norman, OK 73069

Phone: (405) 701-8530

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1992474969 is the National Provider Identifier for GRACE MUKOMBE, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Norman, OK. This NPI was enumerated on September 12, 2021.
GRACE MUKOMBE practices at 3400 DESKIN DR # 8295, Norman, OK 73069.

Quick Facts

NPI
1992474969
Type
Individual
Enumerated
Sep 12, 2021
Last Updated
Sep 12, 2021

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