| Starting Point Integrated | |
|
Se Of Boley On Hwy 62 Boley OK 74829 | |
| (918) 667-3633 | |
| (918) 667-3651 |
| Full Name | Starting Point Integrated |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | Se Of Boley On Hwy 62, Boley, Oklahoma |
| Authorized Official Name and Position | Ellengton P. Boyce (CEO) |
| Authorized Official Contact | 9186673367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starting Point Integrated Po Box 218 Boley OK 74829-0218 Ph: (918) 667-3633 | Starting Point Integrated Se Of Boley On Hwy 62 Boley OK 74829 Ph: (918) 667-3633 |
| NPI Number | 1649360025 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649360025 | NPI | - | NPPES |
| 100685660D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |