| Community Services Of Eastern Oklahoma, Inc. | |
|
3104 S Elm Pl Ste M Broken Arrow OK 74012-7949 | |
| (918) 286-2535 | |
| Not Available |
| Full Name | Community Services Of Eastern Oklahoma, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3104 S Elm Pl, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Michael E Crawford (CEO) |
| Authorized Official Contact | 9182862535 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Services Of Eastern Oklahoma, Inc. 3104 S Elm Pl Ste M Broken Arrow OK 74012-7949 Ph: (918) 286-2535 | Community Services Of Eastern Oklahoma, Inc. 3104 S Elm Pl Ste M Broken Arrow OK 74012-7949 Ph: (918) 286-2535 |
| NPI Number | 1548462682 |
|---|---|
| Provider Enumeration Date | 06/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548462682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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