Tenkiller Behavioral Services Inc | |
27753 S Welling Rd Welling OK 74471-2202 | |
(918) 457-4999 | |
(918) 457-4104 |
Full Name | Tenkiller Behavioral Services Inc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 27753 S Welling Rd, Welling, Oklahoma |
Authorized Official Name and Position | Davetta Mcintosh (CEO OWNER) |
Authorized Official Contact | 9184574221 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tenkiller Behavioral Services Inc 27753 S Welling Rd Welling OK 74471-2202 Ph: (918) 457-4999 | Tenkiller Behavioral Services Inc 27753 S Welling Rd Welling OK 74471-2202 Ph: (918) 457-4999 |
NPI Number | 1134291859 |
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Provider Enumeration Date | 11/15/2006 |
Last Update Date | 11/09/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134291859 | NPI | - | NPPES |
100708280C | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Oklahoma) | Primary |