Pure Divergence

  • 1144573080 NPI Number
  • |
  • Actived: 7 years ago
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According to our database, NPI number for Pure Divergence is 1144573080 and actived since Tuesday, October 16 2012. Pure Divergence is an Organization provider specializes in Community/Behavioral Health. Provider information was last updated on 10/26/2012.

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Overview of Pure Divergence

  • NPI number: 1598308884
  • Provider type: Organization
  • Specialty: Community/Behavioral Health
  • Active since: 10/16/2012
  • Last updated: 10/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 251S00000X
  • Specialty: Community/Behavioral Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 334
    Mustang, OK 73064
  • Phone: 405-779-4334
  • Fax:

Provider Practice Location

  • Address: 508 Cherokee Gate Dr
    Mustang, OK 73064
  • Phone: 405-779-4334
  • Fax:

Authorized Official

  • Name: Sarah Whitewater
  • Position/Title: Owner
  • Telephone Number: 405-779-4334

Scope of Practice

  • Taxonomy Code: 251S00000X
  • Specialty: Community/Behavioral Health
  • License Number:
  • License State:
  • Switch: Yes

Question & Answers

What is the npi number?

  • Q: What is the npi number for Pure Divergence?
  • A: The npi number for Pure Divergence is 1144573080.
  • Q: What are Pure Divergence's specialties?
  • A: Pure Divergence's specialties are Community/Behavioral Health and different specialities.
  • Q: Where is Pure Divergence business practice location?
  • A: Pure Divergence business practice location is 508 Cherokee Gate Dr, Mustang, OK 73064.
  • Q: How to contact Pure Divergence?
  • A: You can contact Pure Divergence via 405-779-4334.
  • Q: What is the authorized official for Pure Divergence?
  • A: The authorized office name is Sarah Whitewater with position/title is Owner and you can reach the authorized official via phone number 4057794334.