| Western Plains Youth & Family Services, Inc. | |
|
5 Sw D Ave, Ste. B Lawton OK 73501-4619 | |
| (580) 248-3065 | |
| (580) 248-3370 |
| Full Name | Western Plains Youth & Family Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Sw D Ave, Ste. B, Lawton, Oklahoma |
| Authorized Official Name and Position | Kevin Evans (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5802545322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Plains Youth & Family Services, Inc. 1213 W Hanks Trail Woodward OK 73801-7601 Ph: (580) 254-5322 | Western Plains Youth & Family Services, Inc. 5 Sw D Ave, Ste. B Lawton OK 73501-4619 Ph: (580) 248-3065 |
| NPI Number | 1073723417 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073723417 | NPI | - | NPPES |
| 100732920F | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | K860076 (Oklahoma) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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