| Jim Taliaferro Cmhc | |
|
327 Sw C Ave Lawton OK 73501-4016 | |
| (580) 355-0072 | |
| Not Available |
| Full Name | Jim Taliaferro Cmhc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 327 Sw C Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Randy Honeycutt (COORDINATOR) |
| Authorized Official Contact | 5803550072 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jim Taliaferro Cmhc 327 Sw C Ave Lawton OK 73501-4016 Ph: () - | Jim Taliaferro Cmhc 327 Sw C Ave Lawton OK 73501-4016 Ph: (580) 355-0072 |
| NPI Number | 1932569001 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932569001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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