Provider Demographics
| NPI: | 1437907300 |
|---|---|
| Name: | RESOURCE COMMUNITY OUTREACH & HOLISTIC WELLNESS SERVICES INC. |
| Entity type: | Organization |
| Organization Name: | RESOURCE COMMUNITY OUTREACH & HOLISTIC WELLNESS SERVICES INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | QUANTE |
| Authorized Official - Middle Name: | DION |
| Authorized Official - Last Name: | METOYER |
| Authorized Official - Suffix: | SR |
| Authorized Official - Credentials: | LPC, CM II |
| Authorized Official - Phone: | 405-856-6726 |
| Mailing Address - Street 1: | 2335 SW 44TH ST |
| Mailing Address - Street 2: | |
| Mailing Address - City: | OKLAHOMA CITY |
| Mailing Address - State: | OK |
| Mailing Address - Zip Code: | 73119-3548 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 405-404-7546 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 2335 SW 44TH ST |
| Practice Address - Street 2: | |
| Practice Address - City: | OKLAHOMA CITY |
| Practice Address - State: | OK |
| Practice Address - Zip Code: | 73119-3548 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 405-404-7546 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2024-05-07 |
| Last Update Date: | 2024-05-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
| No | 251B00000X | Agencies | Case Management | Group - Multi-Specialty | |
| No | 251K00000X | Agencies | Public Health or Welfare | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 251V00000X | Agencies | Voluntary or Charitable | ||
| No | 261QA0005X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Family Planning Facility | |
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
| No | 261QR0401X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| No | 261QR0405X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation, Substance Use Disorder | |
| No | 261QR1100X | Ambulatory Health Care Facilities | Clinic/Center | Research | |
| No | 302R00000X | Managed Care Organizations | Health Maintenance Organization | ||
| No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness |
