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Mr. Jeremy D Fultz
Community/Behavioral Health Agency in Oklahoma City, Oklahoma
NPI 1518219484

Jeremy D Fultz is a Community/Behavioral Health Agency based in Oklahoma City, OK. Jeremy D Fultz practices in Oklahoma City, OK. The NPI Number for Jeremy D Fultz is 1518219484 and holds a License No. 35-2456420 (Oklahoma).

The current practice location address for Jeremy D Fultz is 7620 Nw 14Th Ter, Oklahoma City, OK and can be reached out via phone at 405-823-3920.

Location: 7620 Nw 14Th Ter, Oklahoma City, OK, 73127-3115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518219484
Provider Name
Jeremy D Fultz
Credential
Provider Entity Type
Individual
Gender
Male
Address
7620 Nw 14Th Ter, Oklahoma City, OK, 73127-3115
Phone Number
405-823-3920
Fax Number
Provider Enumeration Date
10/02/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7620 Nw 14Th Ter
City
Oklahoma City
State
Oklahoma
Zip
73127-3115
Phone Number
405-823-3920
Fax Number
person
Provider Business Mailing Address Details
Address
7620 Nw 14Th Ter
City
Oklahoma City
State
Oklahoma
Zip
73127-3115
Phone Number
405-823-3920
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
35-2456420 (Oklahoma)
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.
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