| Youthcare Of Oklahoma | |
|
1107 E 13th St Grove OK 74344-7955 | |
| (866) 926-6552 | |
| (580) 323-6152 |
| Full Name | Youthcare Of Oklahoma |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1107 E 13th St, Grove, 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 1107 E 13th St Grove OK 74344-7955 Ph: (866) 926-6552 |
| NPI Number | 1194032805 |
|---|---|
| Provider Enumeration Date | 09/02/2010 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194032805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
Grand Lake Medical Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 S Harber Rd, Grove, OK 74344 Phone: 918-786-4434 | |
Skm Solutions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 E 1st St, Grove, OK 74344 Phone: 918-786-7111 Fax: 918-786-7116 | |
Grand Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Harbor Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 | |
Grand Lake Therapeutics Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1441 Lakeside Dr, Grove, OK 74344 Phone: 918-786-0875 | |
Grand Lake Mental Health Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Harber Rd, Grove, OK 74344 Phone: 918-786-4434 Fax: 918-786-4435 |