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Mongo Allen, MED
Mental Illness Community Based Residential Treatment Facility in Edmond, Oklahoma
NPI 1083058523

Mongo Allen is a Mental Illness Community Based Residential Treatment Facility based in Edmond, OK. Mongo Allen practices in Edmond, OK and has the professional credentials of MED. The NPI Number for Mongo Allen is 1083058523 and holds a License No. (Oklahoma).

The current practice location address for Mongo Allen is 829 Nw 142Nd St, Edmond, OK and can be reached out via phone at 405-315-0855.

Location: 829 Nw 142Nd St, Edmond, OK, 73013-1962
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083058523
Provider Name
Mongo Allen
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
829 Nw 142Nd St, Edmond, OK, 73013-1962
Phone Number
405-315-0855
Fax Number
Provider Enumeration Date
04/27/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
829 Nw 142Nd St
City
Edmond
State
Oklahoma
Zip
73013-1962
Phone Number
405-315-0855
Fax Number
person
Provider Business Mailing Address Details
Address
829 Nw 142Nd St
City
Edmond
State
Oklahoma
Zip
73013-1962
Phone Number
405-315-0855
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
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