| A Place For Change | |
|
17 S Central Ave Idabel OK 74745-4625 | |
| (580) 286-5184 | |
| (580) 286-5185 |
| Full Name | A Place For Change |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 17 S Central Ave, Idabel, Oklahoma |
| Authorized Official Name and Position | Denise Kuykendall (OFFICE MANAGER) |
| Authorized Official Contact | 5802865184 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Place For Change 17 S Central Ave Idabel OK 74745-4625 Ph: (580) 286-5184 | A Place For Change 17 S Central Ave Idabel OK 74745-4625 Ph: (580) 286-5184 |
| NPI Number | 1821189671 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821189671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |
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Choctaw Nation Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 902 E Lincoln Rd, Idabel, OK 74745 Phone: 580-286-2600 Fax: 580-286-1087 | |
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