| New Start Mhsa | |
|
115 E Main St Davis OK 73030-1905 | |
| (580) 514-6461 | |
| Not Available |
| Full Name | New Start Mhsa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 115 E Main St, Davis, Oklahoma |
| Authorized Official Name and Position | Amanda Brewer (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 5805146461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Start Mhsa 115 E Main St Davis OK 73030-1905 Ph: () - | New Start Mhsa 115 E Main St Davis OK 73030-1905 Ph: (580) 514-6461 |
| NPI Number | 1689032401 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689032401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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