| New Hope Cdu Llc | |
|
2 Wickersham St Mangum OK 73554-9117 | |
| (580) 782-3337 | |
| Not Available |
| Full Name | New Hope Cdu Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 Wickersham St, Mangum, Oklahoma |
| Authorized Official Name and Position | Elmer Shane Folster (COUNSELOR) |
| Authorized Official Contact | 5807823337 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Hope Cdu Llc Po Box 386 Mangum OK 73554-0386 Ph: (580) 782-3337 | New Hope Cdu Llc 2 Wickersham St Mangum OK 73554-9117 Ph: (580) 782-3337 |
| NPI Number | 1114265246 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 01/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114265246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 607 (Oklahoma) | Primary |
Mangum Public School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Pennsylvania Ave, Mangum, OK 73554 Phone: 580-782-3371 Fax: 580-782-2313 | |
Youthcare Of Oklahoma Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Oklahoma Ave, Mangum, OK 73554 Phone: 866-926-6552 Fax: 580-547-4076 | |
Yco Tulsa, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2100 North Louis Tittle, Suites 122-124 And 147-148, Mangum, OK 73554 Phone: 580-309-7961 |