-- MONGO ALLEN -- M. ED
Individual Provider (NPI-1)
Active
Community/Behavioral Health
Provider Information
- NPI Number
1083058523- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M. ED
- Status
- Active
Contact & Location
- Address
- 829 NW 142ND ST, EDMOND, OK, 730131962
- Phone
- (405) 315-0855
Specialties & Taxonomies
Community/Behavioral Health
Primary
Community Based Residential Treatment Facility, Mental Illness