| Payne County Youth Services, Inc. | |
|
2224 W 12th Ave Stillwater OK 74074-5154 | |
| (405) 377-3380 | |
| (405) 377-3499 |
| Full Name | Payne County Youth Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2224 W 12th Ave, Stillwater, Oklahoma |
| Authorized Official Name and Position | Tim W. Whaley (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053773380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payne County Youth Services, Inc. Po Box 2647 Stillwater OK 74076-2647 Ph: (405) 377-3380 | Payne County Youth Services, Inc. 2224 W 12th Ave Stillwater OK 74074-5154 Ph: (405) 377-3380 |
| NPI Number | 1285780734 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285780734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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