Rocmnd Area Youth Services Inc | |
212 Se 1st Pryor OK 74361 | |
(918) 825-4115 | |
Not Available |
Full Name | Rocmnd Area Youth Services Inc |
---|---|
Speciality | Community/behavioral Health |
Location | 212 Se 1st, Pryor, Oklahoma |
Authorized Official Name and Position | Dee Neal (ASST. DIR) |
Authorized Official Contact | 9182567518 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Rocmnd Area Youth Services Inc Po Box 912 Pryor OK 74362-0912 Ph: (918) 825-4115 | Rocmnd Area Youth Services Inc 212 Se 1st Pryor OK 74361 Ph: (918) 825-4115 |
NPI Number | 1649501859 |
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Provider Enumeration Date | 01/28/2010 |
Last Update Date | 01/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649501859 | NPI | - | NPPES |
100732380F | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 45 (Oklahoma) | Primary |
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