| Green Country Behavioral Health Services, Inc. | |
|
500 Ross Ave Fort Gibson OK 74434-8422 | |
| (918) 682-8407 | |
| Not Available |
| Full Name | Green Country Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 500 Ross Ave, Fort Gibson, Oklahoma |
| Authorized Official Name and Position | Mark Brian Johnson (IT DIRECTOR) |
| Authorized Official Contact | 9186828407 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Country Behavioral Health Services, Inc. 619 N Main St Muskogee OK 74401-4431 Ph: (918) 682-8407 | Green Country Behavioral Health Services, Inc. 500 Ross Ave Fort Gibson OK 74434-8422 Ph: (918) 682-8407 |
| NPI Number | 1396892527 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396892527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Compass Counseling Services Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 908 S Lee St Ste A, Fort Gibson, OK 74434 Phone: 903-715-2004 Fax: 918-203-3116 |