| Innovative Behavioral Health Llc | |
|
2370 S Kerr Blvd Sallisaw OK 74955-7031 | |
| (479) 461-5275 | |
| Not Available |
| Full Name | Innovative Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2370 S Kerr Blvd, Sallisaw, Oklahoma |
| Authorized Official Name and Position | David Bourne (OWNER) |
| Authorized Official Contact | 4794615275 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative Behavioral Health Llc 3308 S 54th St Fort Smith AR 72903-4617 Ph: (479) 461-5275 | Innovative Behavioral Health Llc 2370 S Kerr Blvd Sallisaw OK 74955-7031 Ph: (479) 461-5275 |
| NPI Number | 1649637422 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649637422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4216 (Oklahoma) | Primary |
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