| Sheltered Work Activity Program Inc | |
|
210 E Okmulgee St Muskogee OK 74403-5453 | |
| (918) 683-8162 | |
| (918) 687-5368 |
| Full Name | Sheltered Work Activity Program Inc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 210 E Okmulgee St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Edward B Breen (CEO) |
| Authorized Official Contact | 9186838162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheltered Work Activity Program Inc 210 E Okmulgee St Muskogee OK 74403-5453 Ph: (918) 683-8162 | Sheltered Work Activity Program Inc 210 E Okmulgee St Muskogee OK 74403-5453 Ph: (918) 683-8162 |
| NPI Number | 1437343712 |
|---|---|
| Provider Enumeration Date | 08/30/2007 |
| Last Update Date | 08/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437343712 | NPI | - | NPPES |
| 100682680B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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