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Bobby Green
Mental Health Clinic/Center (Including Community Mental Health Center) in Broken Arrow, Oklahoma
NPI 1821849571

Bobby Green is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Tulsa, OK and is specialized in Mental Health (Including Community Mental Health Center). Bobby Green practices in Broken Arrow, OK. The NPI Number for Bobby Green is 1821849571 and holds a License No. (Oklahoma).

The current practice location address for Bobby Green is 2548 E Kenosha St, Broken Arrow, OK and can be reached out via phone at 918-355-0993.

Location: 2548 E Kenosha St, Broken Arrow, OK, 74134-5632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821849571
Provider Name
Bobby Green
Credential
Provider Entity Type
Individual
Gender
Male
Address
2548 E Kenosha St, Broken Arrow, OK, 74134-5632
Phone Number
918-355-0993
Fax Number
Provider Enumeration Date
04/01/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2548 E Kenosha St
City
Broken Arrow
State
Oklahoma
Zip
74014-6712
Phone Number
918-355-0993
Fax Number
person
Provider Business Mailing Address Details
Address
2548 E Kenosha St
City
Broken Arrow
State
Oklahoma
Zip
74014-6712
Phone Number
918-355-0993
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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