location
search-icon
institution
Pennington Creek Life House
Community/Behavioral Health Agency in Tishomingo, Oklahoma
NPI 1164771366

Pennington Creek Life House is a Community/Behavioral Health Agency based in Tishomingo, OK. Pennington Creek Life House practices in Tishomingo, OK. The NPI Number for Pennington Creek Life House is 1164771366 and holds a License No. (Oklahoma).

The current practice location address for Pennington Creek Life House is 801 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-3776.

Location: 801 E Main St, Tishomingo, OK, 73460
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164771366
Provider Name
Pennington Creek Life House
Credential
Provider Entity Type
Organization
Address
801 E Main St, Tishomingo, OK, 73460
Phone Number
580-371-3776
Fax Number
Provider Enumeration Date
09/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
801 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2351
Phone Number
580-371-3776
Fax Number
person
Provider Business Mailing Address Details
Address
801 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2351
Phone Number
580-371-3776
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.