| Northern Oklahoma Youth Services | |
|
2203 N Ash St Ponca City OK 74601-1108 | |
| (580) 762-8341 | |
| (580) 762-9967 |
| Full Name | Northern Oklahoma Youth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2203 N Ash St, Ponca City, Oklahoma |
| Authorized Official Name and Position | James Wesley Carter (DIRECTOR OF SERVICES) |
| Authorized Official Contact | 5807612269 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Oklahoma Youth Services 2203 N Ash St Ponca City OK 74601-1108 Ph: (580) 762-8341 | Northern Oklahoma Youth Services 2203 N Ash St Ponca City OK 74601-1108 Ph: (580) 762-8341 |
| NPI Number | 1710109178 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710109178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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