institution
Providence Service Corporation Of Oklahoma
Mental Health Clinic/Center (Including Community Mental Health Center) in Lawton, Oklahoma
NPI 1033279443

Providence Service Corporation Of Oklahoma is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tucson, OK and is specialized in Mental Health (Including Community Mental Health Center). Providence Service Corporation Of Oklahoma practices in Lawton, OK. The NPI Number for Providence Service Corporation Of Oklahoma is 1033279443 and holds a License No. (Oklahoma).

The current practice location address for Providence Service Corporation Of Oklahoma is 4645 W Gore Blvd Ste 5, Lawton, OK and can be reached out via phone at 580-355-6800 and via fax at 580-355-0666.

Location: 4645 W Gore Blvd Ste 5, Lawton, OK, 85711-1448
institution
Provider Profile Details
NPI Number
1033279443
Provider Name
Providence Service Corporation Of Oklahoma
Credential
Provider Entity Type
Organization
Address
4645 W Gore Blvd Ste 5, Lawton, OK, 85711-1448
Phone Number
580-355-6800
Fax Number
580-355-0666
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4645 W Gore Blvd Ste 5
City
State
Zip
73505-5962
Phone Number
580-355-6800
Fax Number
580-355-0666
person
Provider Business Mailing Address Details
Address
4645 W Gore Blvd Ste 5
City
State
Zip
73505-5962
Phone Number
580-355-6800
Fax Number
580-355-0666
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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