Great Plains Youth And Family Services | |
901 S Broadway Ave Hobart OK 73651-1834 | |
(580) 726-3383 | |
(580) 726-3384 |
Full Name | Great Plains Youth And Family Services |
---|---|
Speciality | Community/behavioral Health |
Location | 901 S Broadway Ave, Hobart, Oklahoma |
Authorized Official Name and Position | Carie Watker (ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 5807263383 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Great Plains Youth And Family Services 901 S Broadway Ave Hobart OK 73651-1834 Ph: (580) 726-3383 | Great Plains Youth And Family Services 901 S Broadway Ave Hobart OK 73651-1834 Ph: (580) 726-3383 |
NPI Number | 1457507428 |
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Provider Enumeration Date | 08/11/2008 |
Last Update Date | 08/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457507428 | NPI | - | NPPES |
100707910A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 100707910A (Oklahoma) | Primary |
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