| Green Country Behavioral Health Services, Inc. | |
|
3015 E Skelly Dr Ste 115 Tulsa OK 74105-6344 | |
| (918) 665-0208 | |
| Not Available |
| Full Name | Green Country Behavioral Health Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3015 E Skelly Dr Ste 115, Tulsa, 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. 3015 E Skelly Dr Ste 115 Tulsa OK 74105-6344 Ph: (918) 665-0208 |
| NPI Number | 1871640078 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871640078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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