institution
State Of Oklahoma; Dba:bill Willis Community Mental Health Center
Mental Health Clinic/Center (Including Community Mental Health Center) in Tahlequah, Oklahoma
NPI 1508987959

State Of Oklahoma; Dba:bill Willis Community Mental Health Center is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tahlequah, OK and is specialized in Mental Health (Including Community Mental Health Center). State Of Oklahoma; Dba:bill Willis Community Mental Health Center practices in Tahlequah, OK. The NPI Number for State Of Oklahoma; Dba:bill Willis Community Mental Health Center is 1508987959 and holds a License No. 36-4537 (Oklahoma).

The current practice location address for State Of Oklahoma; Dba:bill Willis Community Mental Health Center is 1400 S. Hensley Dr, Tahlequah, OK and can be reached out via phone at 918-207-3049 and via fax at 918-207-3065.

Location: 1400 S. Hensley Dr, Tahlequah, OK, 74465-0558
institution
Provider Profile Details
NPI Number
1508987959
Provider Name
State Of Oklahoma; Dba:bill Willis Community Mental Health Center
Credential
Provider Entity Type
Organization
Address
1400 S. Hensley Dr, Tahlequah, OK, 74465-0558
Phone Number
918-207-3049
Fax Number
918-207-3065
Provider Enumeration Date
04/03/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
29393 01 OK STATE BNDD CONTROL NUMBER
364537 01 OK STATE BOARD OF PHARMACY L
institution
Provider Business Practice Location Address Details
Address
1400 S. Hensley Dr
City
State
Zip
74465-0558
Phone Number
918-207-3049
Fax Number
918-207-3065
person
Provider Business Mailing Address Details
Address
1400 S. Hensley Dr
City
State
Zip
74465-0558
Phone Number
918-207-3049
Fax Number
918-207-3065
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.
36-4537 (Oklahoma)
Definition
Definition to come...
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