Organization · Type 2 NPI

Providence Service Corporation of Oklahoma

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

NPI number 1487726170 Active

Practice location

931 Arlington St Ste 2
Ada, OK 74820-4025

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...

3 other providers at this address

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About NPI 1487726170

Providence Service Corporation of Oklahoma's National Provider Identifier is 1487726170, issued on Nov 15, 2006. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ada, OK. The record was last updated on Aug 22, 2020.