| |
1019 Kinkead Rd Mcalester OK 74501-7704 | |
(918) 429-8184 | |
(918) 426-5439 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1019 Kinkead Rd, Mcalester, Oklahoma |
Authorized Official Name and Position | Levenia Carey (OWNER/CLINICAL DIRECTOR) |
Authorized Official Contact | 9184298184 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1019 Kinkead Rd Mcalester OK 74501-7704 Ph: (918) 429-8184 | 1019 Kinkead Rd Mcalester OK 74501-7704 Ph: (918) 429-8184 |
NPI Number | 1912235185 |
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Provider Enumeration Date | 11/30/2009 |
Last Update Date | 10/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912235185 | NPI | - | NPPES |
200266780B | Medicaid | OK | |
200266780A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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