Youthcare Of Oklahoma | |
211 E Main St Cordell OK 73632-4825 | |
(866) 926-6552 | |
(405) 632-0038 |
Full Name | Youthcare Of Oklahoma |
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Speciality | Community/behavioral Health |
Location | 211 E Main St, Cordell, Oklahoma |
Authorized Official Name and Position | Robert Lobato (CEO) |
Authorized Official Contact | 4052228167 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Youthcare Of Oklahoma Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | Youthcare Of Oklahoma 211 E Main St Cordell OK 73632-4825 Ph: (866) 926-6552 |
NPI Number | 1962697391 |
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Provider Enumeration Date | 09/10/2007 |
Last Update Date | 09/10/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962697391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 251B00000X (Oklahoma) | Primary |
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