Soar | |
107 S High St Antlers OK 74523-3818 | |
(580) 298-2830 | |
Not Available |
Full Name | Soar |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 107 S High St, Antlers, Oklahoma |
Authorized Official Name and Position | Mary Maple (BOARD) |
Authorized Official Contact | 5802982830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soar Po Box 1030 Antlers OK 74523-1030 Ph: () - | Soar 107 S High St Antlers OK 74523-3818 Ph: (580) 298-2830 |
NPI Number | 1679637656 |
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Provider Enumeration Date | 12/21/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679637656 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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