| Yco Tulsa, Inc. | |
|
602 Sw A Ave Lawton OK 73501-3930 | |
| (580) 699-2023 | |
| (580) 699-5523 |
| Full Name | Yco Tulsa, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 602 Sw A Ave, Lawton, Oklahoma |
| Authorized Official Name and Position | Robert Lobato (CEO) |
| Authorized Official Contact | 8669266552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yco Tulsa, Inc. Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | Yco Tulsa, Inc. 602 Sw A Ave Lawton OK 73501-3930 Ph: (580) 699-2023 |
| NPI Number | 1629400288 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 10/21/2020 |
| Certification Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629400288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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