| The Play Place, Llc | |
|
121 S Main St Stillwater OK 74074-3519 | |
| (405) 564-4248 | |
| Not Available |
| Full Name | The Play Place, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 S Main St, Stillwater, Oklahoma |
| Authorized Official Name and Position | Nikkie Jo Dunnigan (DIRECTOR) |
| Authorized Official Contact | 4055644248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Play Place, Llc 1806 W 18th Ct Stillwater OK 74074-6801 Ph: (405) 564-4248 | The Play Place, Llc 121 S Main St Stillwater OK 74074-3519 Ph: (405) 564-4248 |
| NPI Number | 1750758694 |
|---|---|
| Provider Enumeration Date | 08/26/2015 |
| Last Update Date | 09/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750758694 | NPI | - | NPPES |
| 200451940B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5773 (Oklahoma) | Primary |
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