| |
620 Rebecca Rd Frederick OK 73542-2444 | |
(580) 305-0939 | |
(580) 335-2443 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 620 Rebecca Rd, Frederick, Oklahoma |
Authorized Official Name and Position | Debbie Morey (CEO) |
Authorized Official Contact | 5803050939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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620 Rebecca Rd Frederick OK 73542-2444 Ph: (580) 305-0939 | 620 Rebecca Rd Frederick OK 73542-2444 Ph: (580) 305-0939 |
NPI Number | 1144422122 |
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Provider Enumeration Date | 06/02/2007 |
Last Update Date | 01/31/2025 |
Certification Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144422122 | NPI | - | NPPES |
200115660 | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 2935 (Oklahoma) | Primary |
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