| Creoks | |
|
711 S Muskogee Ave Tahlequah OK 74464-4717 | |
| (918) 207-9563 | |
| Not Available |
| Full Name | Creoks |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 711 S Muskogee Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Ashley Ann Baine (INPATIENT LPN) |
| Authorized Official Contact | 9182079563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creoks 711 S Muskogee Ave Tahlequah OK 74464-4717 Ph: (918) 207-9563 | Creoks 711 S Muskogee Ave Tahlequah OK 74464-4717 Ph: (918) 207-9563 |
| NPI Number | 1750151387 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750151387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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