| Youth & Family Services Of Nco | |
|
605 W. Oxford Enid OK 73701-1256 | |
| (580) 233-7220 | |
| (580) 237-7550 |
| Full Name | Youth & Family Services Of Nco |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 605 W. Oxford, Enid, Oklahoma |
| Authorized Official Name and Position | Pamela Lynn Bookout (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5802337220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth & Family Services Of Nco 605 W. Oxford Enid OK 73701-1256 Ph: (580) 233-7220 | Youth & Family Services Of Nco 605 W. Oxford Enid OK 73701-1256 Ph: (580) 233-7220 |
| NPI Number | 1477600427 |
|---|---|
| Provider Enumeration Date | 01/04/2007 |
| Last Update Date | 05/01/2017 |
| Medicare PECOS PAC ID | 8123305828 |
|---|---|
| Medicare Enrollment ID | O20170505002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477600427 | NPI | - | NPPES |
| 100731500D | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Pamela Lynn Bookout |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801113642 PECOS PAC ID: 9436373933 Enrollment ID: I20140623001947 |
| Provider Name | Shylah Ridgway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952652133 PECOS PAC ID: 9830471150 Enrollment ID: I20170123000770 |
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