| Youthcare Of Oklahoma | |
|
603 W 12th St Claremore OK 74017-4013 | |
| (866) 926-6552 | |
| (918) 289-0551 |
| Full Name | Youthcare Of Oklahoma |
|---|---|
| Speciality | Counselor - Professional |
| Location | 603 W 12th St, Claremore, 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 |
|---|---|
| Youthcare Of Oklahoma Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | Youthcare Of Oklahoma 603 W 12th St Claremore OK 74017-4013 Ph: (866) 926-6552 |
| NPI Number | 1013224716 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 04/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013224716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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