institution
Providence Service Corporation Of Oklahoma
Mental Health Clinic/Center (Including Community Mental Health Center) in Antlers, Oklahoma
NPI 1639239023

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 Antlers, OK. The NPI Number for Providence Service Corporation Of Oklahoma is 1639239023 and holds a License No. (Oklahoma).

The current practice location address for Providence Service Corporation Of Oklahoma is 301 N High St, Antlers, OK and can be reached out via phone at 580-298-5779 and via fax at 580-298-5016. You can also correspond with Providence Service Corporation Of Oklahoma through the mailing address at 620 N CRAYCROFT RD, TUCSON, AZ - 85711-1448 (mailing address contact number: 520-747-6600).

Location: 301 N High St, Antlers, OK, 85711-1448
institution
Provider Profile Details
NPI Number
1639239023
Provider Name
Providence Service Corporation Of Oklahoma
Credential
Provider Entity Type
Organization
Address
301 N High St, Antlers, OK, 85711-1448
Phone Number
580-298-5779
Fax Number
580-298-5016
Provider Enumeration Date
12/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100750190M 05 OK
institution
Provider Business Practice Location Address Details
Address
301 N High St
City
State
Zip
74523-2238
Phone Number
580-298-5779
Fax Number
580-298-5016
person
Provider Business Mailing Address Details
Address
301 N High St
City
State
Zip
74523-2238
Phone Number
580-298-5779
Fax Number
580-298-5016
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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