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Pennington Creek Lifehouse
Community/Behavioral Health Agency in Tishomingo, Oklahoma
NPI 1831464304

Pennington Creek Lifehouse is a Community/Behavioral Health Agency based in Tishomingo, OK. Pennington Creek Lifehouse practices in Tishomingo, OK. The NPI Number for Pennington Creek Lifehouse is 1831464304 and holds a License No. (Oklahoma).

The current practice location address for Pennington Creek Lifehouse is 801 E Main St, Tishomingo, OK and can be reached out via phone at 580-371-3799 and via fax at 580-371-2056.

Location: 801 E Main St, Tishomingo, OK, 73460-2351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831464304
Provider Name
Pennington Creek Lifehouse
Credential
Provider Entity Type
Organization
Address
801 E Main St, Tishomingo, OK, 73460-2351
Phone Number
580-371-3799
Fax Number
580-371-2056
Provider Enumeration Date
03/16/2012
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
580-371-3799
Fax Number
580-371-2056
person
Provider Business Mailing Address Details
Address
801 E Main St
City
Tishomingo
State
Oklahoma
Zip
73460-2351
Phone Number
580-371-3799
Fax Number
580-371-2056
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.
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