| Td Behavioral Health Llc | |
|
2227 S Garnett Rd Tulsa OK 74129-5119 | |
| (479) 595-2555 | |
| (479) 595-2555 |
| Full Name | Td Behavioral Health Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2227 S Garnett Rd, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lance Douglas Drain (COO) |
| Authorized Official Contact | 4795952555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Td Behavioral Health Llc 2227 S Garnett Rd Tulsa OK 74129-5119 Ph: (479) 595-2555 | Td Behavioral Health Llc 2227 S Garnett Rd Tulsa OK 74129-5119 Ph: (479) 595-2555 |
| NPI Number | 1477216059 |
|---|---|
| Provider Enumeration Date | 10/20/2021 |
| Last Update Date | 10/20/2021 |
| Certification Date | 10/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477216059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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