| Tricounty Behavioral Health, Llc | |
|
203 E Jackson St Hugo OK 74743-4036 | |
| (580) 326-9289 | |
| Not Available |
| Full Name | Tricounty Behavioral Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 203 E Jackson St, Hugo, Oklahoma |
| Authorized Official Name and Position | George Wayne Durrence (OWNER) |
| Authorized Official Contact | 5803269289 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricounty Behavioral Health, Llc 203 E Jackson St Hugo OK 74743-4036 Ph: (580) 326-9289 | Tricounty Behavioral Health, Llc 203 E Jackson St Hugo OK 74743-4036 Ph: (580) 326-9289 |
| NPI Number | 1154660652 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 02/05/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154660652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oklahoma) | Primary |
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