| Stillwater Domestic Violence Services, Inc. | |
|
3800 N Washington St Stillwater OK 74075-1439 | |
| (405) 372-9922 | |
| Not Available |
| Full Name | Stillwater Domestic Violence Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3800 N Washington St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Brandi White (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4053729922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillwater Domestic Violence Services, Inc. 3800 N Washington St Stillwater OK 74075-1439 Ph: (405) 372-9922 | Stillwater Domestic Violence Services, Inc. 3800 N Washington St Stillwater OK 74075-1439 Ph: (405) 372-9922 |
| NPI Number | 1548080286 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548080286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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