Provider Demographics
NPI:1952422982
Name:HUMAN SKILLS & RESOURCES
Entity Type:Organization
Organization Name:HUMAN SKILLS & RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALCOHOL DRUG COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:L AVERNE
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:MA ,LADC
Authorized Official - Phone:918-283-1423
Mailing Address - Street 1:408 E WILL ROGERS BLVD
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74017-7455
Mailing Address - Country:US
Mailing Address - Phone:918-283-1423
Mailing Address - Fax:
Practice Address - Street 1:408 E WILL ROGERS BLVD
Practice Address - Street 2:
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017-7455
Practice Address - Country:US
Practice Address - Phone:918-283-1423
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK558174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty