| Premier Family Life & Treatment Center, Llc | |
|
1314 W Evergreen St Durant OK 74701-4726 | |
| (580) 931-9973 | |
| (580) 924-1176 |
| Full Name | Premier Family Life & Treatment Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1314 W Evergreen St, Durant, Oklahoma |
| Authorized Official Name and Position | Delois J Phillips (PRESIDENT/CEO) |
| Authorized Official Contact | 5809319973 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Life & Treatment Center, Llc 1314 W Evergreen St Durant OK 74701-4726 Ph: (580) 931-9973 | Premier Family Life & Treatment Center, Llc 1314 W Evergreen St Durant OK 74701-4726 Ph: (580) 931-9973 |
| NPI Number | 1598959736 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598959736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3445 (Oklahoma) | Primary |
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