institution
Providence Service Corporation Of Oklahoma
Mental Health Clinic/Center (Including Community Mental Health Center) in Durant, Oklahoma
NPI 1407916802

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 Durant, OK. The NPI Number for Providence Service Corporation Of Oklahoma is 1407916802 and holds a License No. (Oklahoma).

The current practice location address for Providence Service Corporation Of Oklahoma is 134 N 12Th Ave, Durant, OK and can be reached out via phone at 580-924-6363 and via fax at 580-924-0379.

Location: 134 N 12Th Ave, Durant, OK, 85711-1448
institution
Provider Profile Details
NPI Number
1407916802
Provider Name
Providence Service Corporation Of Oklahoma
Credential
Provider Entity Type
Organization
Address
134 N 12Th Ave, Durant, OK, 85711-1448
Phone Number
580-924-6363
Fax Number
580-924-0379
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
134 N 12Th Ave
City
State
Zip
74701-4718
Phone Number
580-924-6363
Fax Number
580-924-0379
person
Provider Business Mailing Address Details
Address
134 N 12Th Ave
City
State
Zip
74701-4718
Phone Number
580-924-6363
Fax Number
580-924-0379
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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