| Creoks Mental Health Services, Inc | |
|
23 E Ross Ave Sapulpa OK 74066-6423 | |
| (918) 216-4999 | |
| Not Available |
| Full Name | Creoks Mental Health Services, Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23 E Ross Ave, Sapulpa, Oklahoma |
| Authorized Official Name and Position | Joshua Williams (CIO) |
| Authorized Official Contact | 9183827300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks Mental Health Services, Inc 4103 S Yale Ave Ste B Tulsa OK 74135-6002 Ph: (918) 382-7300 | Creoks Mental Health Services, Inc 23 E Ross Ave Sapulpa OK 74066-6423 Ph: (918) 216-4999 |
| NPI Number | 1962225037 |
|---|---|
| Provider Enumeration Date | 11/06/2024 |
| Last Update Date | 11/06/2024 |
| Certification Date | 10/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962225037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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