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Pennington Creek Life House
Community/Behavioral Health Agency in Coalgate, Oklahoma
NPI 1922246115

Pennington Creek Life House is a Community/Behavioral Health Agency based in Fittstown, OK. Pennington Creek Life House practices in Coalgate, OK. The NPI Number for Pennington Creek Life House is 1922246115 and holds a License No. 3877 (Oklahoma).

The current practice location address for Pennington Creek Life House is 8 S Michigan St Ste B, Coalgate, OK and can be reached out via phone at 580-310-4164.

Location: 8 S Michigan St Ste B, Coalgate, OK, 74842-0261
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922246115
Provider Name
Pennington Creek Life House
Credential
Provider Entity Type
Organization
Address
8 S Michigan St Ste B, Coalgate, OK, 74842-0261
Phone Number
580-310-4164
Fax Number
Provider Enumeration Date
01/27/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8 S Michigan St Ste B
City
Coalgate
State
Oklahoma
Zip
74538-2825
Phone Number
580-310-4164
Fax Number
person
Provider Business Mailing Address Details
Address
8 S Michigan St Ste B
City
Coalgate
State
Oklahoma
Zip
74538-2825
Phone Number
580-310-4164
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
3877 (Oklahoma)
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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