| Shamrock Behavioral Health Services Of Oklahoma, Llc | |
|
1600 E Us Highway 66 Suite #5 El Reno OK 73036-5787 | |
| (405) 464-3279 | |
| Not Available |
| Full Name | Shamrock Behavioral Health Services Of Oklahoma, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1600 E Us Highway 66, El Reno, Oklahoma |
| Authorized Official Name and Position | Kelly Dale Groves (OWNER - THERAPIST) |
| Authorized Official Contact | 4054643279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shamrock Behavioral Health Services Of Oklahoma, Llc 12309 Newgate Dr Yukon OK 73099-6426 Ph: (405) 464-3279 | Shamrock Behavioral Health Services Of Oklahoma, Llc 1600 E Us Highway 66 Suite #5 El Reno OK 73036-5787 Ph: (405) 464-3279 |
| NPI Number | 1265786651 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265786651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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