| Creoks Mental Health Services | |
|
2 S Coo Y Yah St Suite 4 Pryor OK 74361-4636 | |
| (918) 756-9411 | |
| (918) 756-2126 |
| Full Name | Creoks Mental Health Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2 S Coo Y Yah St, Pryor, Oklahoma |
| Authorized Official Name and Position | Chris M Perry (VP OF CLINICAL SERVICES) |
| Authorized Official Contact | 9187569411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks Mental Health Services Po Box 760 Okmulgee OK 74447-0760 Ph: (918) 756-9411 | Creoks Mental Health Services 2 S Coo Y Yah St Suite 4 Pryor OK 74361-4636 Ph: (918) 756-9411 |
| NPI Number | 1700136900 |
|---|---|
| Provider Enumeration Date | 09/14/2012 |
| Last Update Date | 09/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700136900 | NPI | - | NPPES |
| 100734620 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | CMHC-561 (Oklahoma) | Primary |
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