Provider Demographics
NPI:1659610368
Name:DEPRESSION BIPOLAR SUPPORT ALLIANCE
Entity Type:Organization
Organization Name:DEPRESSION BIPOLAR SUPPORT ALLIANCE
Other - Org Name:DBSA
Other - Org Type:Other Name
Authorized Official - Title/Position:EXCECUTIVE DIRECTOR OF DBSA
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-413-7778
Mailing Address - Street 1:8601 NW 106TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-1213
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:405-722-0612
Practice Address - Street 1:3000 UNITED FOUNDERS BLVD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-3958
Practice Address - Country:US
Practice Address - Phone:405-413-7778
Practice Address - Fax:405-722-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health