| Millennium Community Services, Llc | |
|
1212 Reynolds Ave Poteau OK 74953-4724 | |
| (918) 649-0172 | |
| (918) 649-0315 |
| Full Name | Millennium Community Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1212 Reynolds Ave, Poteau, Oklahoma |
| Authorized Official Name and Position | Wade L Hamil (CEO) |
| Authorized Official Contact | 4055739905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Millennium Community Services, Llc 3816 Shadowridge Dr Norman OK 73072-5308 Ph: (405) 627-0276 | Millennium Community Services, Llc 1212 Reynolds Ave Poteau OK 74953-4724 Ph: (918) 649-0172 |
| NPI Number | 1669809893 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 08/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669809893 | NPI | - | NPPES |
| 200129170E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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