person
Grace Mukombe
Emotionally Disturbed Childrens' Residential Treatment Facility in Norman, Oklahoma
NPI 1992474969

Grace Mukombe is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Jenks, OK. Grace Mukombe practices in Norman, OK. The NPI Number for Grace Mukombe is 1992474969 and holds a License No. (Oklahoma).

The current practice location address for Grace Mukombe is 3400 Deskin Dr # 8295, Norman, OK and can be reached out via phone at 405-701-8530 and via fax at 405-701-8529. You can also correspond with Grace Mukombe through the mailing address at 820 N EMERSON ST, JENKS, OK - 74037-3828 (mailing address contact number: 918-510-2958).

Location: 3400 Deskin Dr # 8295, Norman, OK, 74037-3828
person
Provider Profile Details
NPI Number
1992474969
Provider Name
Grace Mukombe
Credential
Provider Entity Type
Individual
Gender
Female
Address
3400 Deskin Dr # 8295, Norman, OK, 74037-3828
Phone Number
405-701-8530
Fax Number
405-701-8529
Provider Enumeration Date
09/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3400 Deskin Dr # 8295
City
State
Zip
73069-8295
Phone Number
405-701-8530
Fax Number
405-701-8529
person
Provider Business Mailing Address Details
Address
820 N Emerson St
City
State
Zip
74037-3828
Phone Number
918-510-2958
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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