MR. Theodis Roosevelt Manning, B.S. ENGINEERING is a peer specialist in Midwest City, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Theodis Roosevelt Manning, B.S. ENGINEERING NPI is 1225316706. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
8306 NE 10TH ST
MIDWEST CITY, OK
ZIP 73110-155
Phone: (405) 732-0573
The enumeration date for this NPI number is 8/1/2011 and was last updated on 4/5/2024.