Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 400 North Oak, Taft, Oklahoma |
Authorized Official Name and Position | Margaret Bradford (EXECYTIVE DIRECTOR) |
Authorized Official Contact | 9182073000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 558 Tahlequah OK 74465-0558 Ph: (918) 207-3000 | 400 North Oak Taft OK 74463 Ph: (918) 207-3000 |
NPI Number | 1225352057 |
---|---|
Provider Enumeration Date | 03/23/2010 |
Last Update Date | 03/23/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225352057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |