| Rocmnd Area Youth Services Inc. | |
|
212 Se. 1st Pryor OK 74362-0912 | |
| (918) 825-4115 | |
| (918) 825-6612 |
| 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 | 9182567515 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocmnd Area Youth Services Inc. Po Box 912 212 Se. 1st Pryor OK 74362-0912 Ph: (918) 825-4115 | Rocmnd Area Youth Services Inc. 212 Se. 1st Pryor OK 74362-0912 Ph: (918) 825-4115 |
| NPI Number | 1730410267 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730410267 | NPI | - | NPPES |
| 100732380F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3702 (Oklahoma) | Primary |
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