| Southwest Enterprises | |
|
2208 Enterprise Dr Altus OK 73521-5843 | |
| (580) 477-0701 | |
| (580) 477-0702 |
| Full Name | Southwest Enterprises |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 2208 Enterprise Dr, Altus, Oklahoma |
| Authorized Official Name and Position | Neil Montgomery (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5804825040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Enterprises Po Box 1088 Altus OK 73522-1088 Ph: (580) 482-5040 | Southwest Enterprises 2208 Enterprise Dr Altus OK 73521-5843 Ph: (580) 477-0701 |
| NPI Number | 1780773788 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780773788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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