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403 N Clarence Nash Blvd Watonga OK 73772-3636 | |
| (866) 926-6552 | |
| (580) 623-2322 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 403 N Clarence Nash Blvd, Watonga, 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 |
|---|---|
Po Box 95207 Oklahoma City OK 73143-5207 Ph: (866) 926-6552 | 403 N Clarence Nash Blvd Watonga OK 73772-3636 Ph: (866) 926-6552 |
| NPI Number | 1134465891 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 12/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134465891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Richard Zielinski Md, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 W 3rd St, Watonga, OK 73772 Phone: 405-788-8883 |