| Tenkiller Behavioral Services, Inc. | |
|
110 W Maple St Stilwell OK 74960-3100 | |
| (918) 797-7786 | |
| (918) 696-8679 |
| Full Name | Tenkiller Behavioral Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 W Maple St, Stilwell, Oklahoma |
| Authorized Official Name and Position | Krista Michelle Roach (ADMINISTRATOR) |
| Authorized Official Contact | 9187977786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tenkiller Behavioral Services, Inc. 27753 S Welling Rd Welling OK 74471-2202 Ph: (918) 797-7786 | Tenkiller Behavioral Services, Inc. 110 W Maple St Stilwell OK 74960-3100 Ph: (918) 797-7786 |
| NPI Number | 1376967216 |
|---|---|
| Provider Enumeration Date | 02/12/2014 |
| Last Update Date | 02/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376967216 | NPI | - | NPPES |
| 100708280 | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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