| Tenkiller Behavioral Services, Inc. | |
|
304 N Muskogee Ave Tahlequah OK 74464-2738 | |
| (918) 207-0079 | |
| Not Available |
| Full Name | Tenkiller Behavioral Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 304 N Muskogee Ave, Tahlequah, Oklahoma |
| Authorized Official Name and Position | Krista Michelle Peterson (ADMINISTRATOR) |
| Authorized Official Contact | 9183161323 |
| 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) 457-4999 | Tenkiller Behavioral Services, Inc. 304 N Muskogee Ave Tahlequah OK 74464-2738 Ph: (918) 207-0079 |
| NPI Number | 1053641373 |
|---|---|
| Provider Enumeration Date | 01/08/2010 |
| Last Update Date | 02/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053641373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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