Organization · Type 2 NPI

Central Ok Family Med CTR

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

NPI number 1649485996 Active

Practice location

527 W 3rd St
Konawa, OK 74849

Fax (580) 925-2362

Mailing address

PO Box 358, 527 W 3rd St
Konawa, OK 74849

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 1649485996

Central Ok Family Med CTR's National Provider Identifier is 1649485996, issued on May 11, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Konawa, OK. The record was last updated on Oct 4, 2010.