| Youthcare Of Oklahoma - Pryor | |
|
447 S Wood St Pryor OK 74361-6043 | |
| (918) 289-0550 | |
| Not Available |
| Full Name | Youthcare Of Oklahoma - Pryor |
|---|---|
| Speciality | Counselor - Professional |
| Location | 447 S Wood St, Pryor, 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 - Pryor Po Box 95207 Oklahoma City OK 73143-5207 Ph: () - | Youthcare Of Oklahoma - Pryor 447 S Wood St Pryor OK 74361-6043 Ph: (918) 289-0550 |
| NPI Number | 1679009104 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679009104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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