Organization · Type 2 NPI

Providence Service Corporation of Oklahoma

Mental Health Clinic/Center (Including Community Mental Health Center) · Durant, OK

NPI number 1407916802 Active

Practice location

134 N 12th Ave
Durant, OK 74701-4718

Fax (580) 924-0379

Mailing address

620 N Craycroft Rd
Tucson, AZ 85711-1448

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1407916802

Providence Service Corporation of Oklahoma's National Provider Identifier is 1407916802, issued on Dec 8, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Durant, OK. The record was last updated on Aug 22, 2020.