| Youth Services Of Bryan County, Inc | |
|
1105 Lynnwood St Durant OK 74701-2919 | |
| (580) 924-6263 | |
| (580) 924-6775 |
| Full Name | Youth Services Of Bryan County, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1105 Lynnwood St, Durant, Oklahoma |
| Authorized Official Name and Position | Mary Janelle Russell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5809313441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Services Of Bryan County, Inc Po Box 813 Durant OK 74702-0813 Ph: (580) 924-6263 | Youth Services Of Bryan County, Inc 1105 Lynnwood St Durant OK 74701-2919 Ph: (580) 924-6263 |
| NPI Number | 1770601155 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770601155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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