| Modern Mental Health | |
|
609 S Redwood Ave Broken Arrow OK 74012-4516 | |
| (918) 836-0239 | |
| Not Available |
| Full Name | Modern Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 609 S Redwood Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Krystle Hahn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9188156567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Mental Health 609 S Redwood Ave Broken Arrow OK 74012-4516 Ph: () - | Modern Mental Health 609 S Redwood Ave Broken Arrow OK 74012-4516 Ph: (918) 836-0239 |
| NPI Number | 1700390671 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700390671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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