| Refuge Behavioral Health Pllc | |
|
201 S Murray St Tishomingo OK 73460-2224 | |
| (580) 371-0321 | |
| (158) 037-1031 |
| Full Name | Refuge Behavioral Health Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 201 S Murray St, Tishomingo, Oklahoma |
| Authorized Official Name and Position | Tyson Middle Ratzlaff (OWNER) |
| Authorized Official Contact | 5802728012 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Refuge Behavioral Health Pllc 201 S Murray St Tishomingo OK 73460-2224 Ph: (580) 371-0321 | Refuge Behavioral Health Pllc 201 S Murray St Tishomingo OK 73460-2224 Ph: (580) 371-0321 |
| NPI Number | 1104193093 |
|---|---|
| Provider Enumeration Date | 11/21/2011 |
| Last Update Date | 09/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104193093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4255 (Oklahoma) | Primary |
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