| Marie Detty Youth & Family Services Center, Inc. | |
|
2501 Sw E Ave Lawton OK 73505-7320 | |
| (580) 248-6450 | |
| (580) 248-6486 |
| Full Name | Marie Detty Youth & Family Services Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2501 Sw E Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Dianne Owens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5082501123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Detty Youth & Family Services Center, Inc. Po Box 408 Lawton OK 73502-0408 Ph: (580) 250-1123 | Marie Detty Youth & Family Services Center, Inc. 2501 Sw E Ave Lawton OK 73505-7320 Ph: (580) 248-6450 |
| NPI Number | 1679694632 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679694632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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