| Our House Mhsa D&l | |
|
125 N 10th St Duncan OK 73533-4611 | |
| (580) 319-7694 | |
| (580) 699-2437 |
| Full Name | Our House Mhsa D&l |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 125 N 10th St, Duncan, Oklahoma |
| Authorized Official Name and Position | Dewel Brewer (PARTNER) |
| Authorized Official Contact | 5806477246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our House Mhsa D&l 2305 Sw H Ave Lawton OK 73505-8103 Ph: (800) 920-6313 | Our House Mhsa D&l 125 N 10th St Duncan OK 73533-4611 Ph: (580) 319-7694 |
| NPI Number | 1922865039 |
|---|---|
| Provider Enumeration Date | 03/05/2024 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922865039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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