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1519 E Steve Owens Blvd Miami OK 74354 | |
| (866) 926-6552 | |
| (580) 547-4076 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1519 E Steve Owens Blvd, Miami, Oklahoma |
| Authorized Official Name and Position | Robert Lobato (CEO) |
| Authorized Official Contact | 8669269552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | 1519 E Steve Owens Blvd Miami OK 74354 Ph: (866) 926-6552 |
| NPI Number | 1982064226 |
|---|---|
| Provider Enumeration Date | 02/29/2016 |
| Last Update Date | 02/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982064226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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