institution
Providence Service Corp
Mental Health Clinic/Center (Including Community Mental Health Center) in Hugo, Oklahoma
NPI 1164721056

Providence Service Corp is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Hugo, OK and is specialized in Mental Health (Including Community Mental Health Center). Providence Service Corp practices in Hugo, OK. The NPI Number for Providence Service Corp is 1164721056 and holds a License No. (Oklahoma).

The current practice location address for Providence Service Corp is 117 E Main St, Hugo, OK and can be reached out via phone at 580-326-7477 and via fax at 580-326-6400.

Location: 117 E Main St, Hugo, OK, 74743-6237
institution
Provider Profile Details
NPI Number
1164721056
Provider Name
Providence Service Corp
Credential
Provider Entity Type
Organization
Address
117 E Main St, Hugo, OK, 74743-6237
Phone Number
580-326-7477
Fax Number
580-326-6400
Provider Enumeration Date
03/18/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100750190 05 OK
institution
Provider Business Practice Location Address Details
Address
117 E Main St
City
State
Zip
74743-6237
Phone Number
580-326-7477
Fax Number
580-326-6400
person
Provider Business Mailing Address Details
Address
117 E Main St
City
State
Zip
74743-6237
Phone Number
580-326-7477
Fax Number
580-326-6400
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.
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Definition
Definition to come...
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