| Theea | |
|
9960 County Road 3500 Ada OK 74820-3556 | |
| (580) 745-9891 | |
| Not Available |
| Full Name | Theea |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9960 County Road 3500, Ada, Oklahoma |
| Authorized Official Name and Position | Theea D Swinford (COUNSELOR) |
| Authorized Official Contact | 5802727282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Theea 9960 County Road 3500 Ada OK 74820-3556 Ph: (580) 745-9891 | Theea 9960 County Road 3500 Ada OK 74820-3556 Ph: (580) 745-9891 |
| NPI Number | 1134523921 |
|---|---|
| Provider Enumeration Date | 10/22/2014 |
| Last Update Date | 10/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134523921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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