| Choices For Life Checotah | |
|
229 W Gentry Ave Checotah OK 74426-2439 | |
| (918) 473-1575 | |
| (918) 473-3185 |
| Full Name | Choices For Life Checotah |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 229 W Gentry Ave, Checotah, Oklahoma |
| Authorized Official Name and Position | Douglas Charles Fellrath (CEO) |
| Authorized Official Contact | 4057510800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choices For Life Checotah 4101 Perimeter Center Dr Suite 250 Oklahoma City OK 73112-2302 Ph: (405) 751-0800 | Choices For Life Checotah 229 W Gentry Ave Checotah OK 74426-2439 Ph: (918) 473-1575 |
| NPI Number | 1346300027 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346300027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | K8600134 (Oklahoma) | Primary |
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