Individual provider · Type 1 NPI

Bobby Green

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

NPI number 1821849571 Active

Practice location

2548 E Kenosha St
Broken Arrow, OK 74014-6712

Call (918) 355-0993 Map

Mailing address

14710 E 39th St S
Tulsa, OK 74134-5632

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 1821849571

Bobby Green's National Provider Identifier is 1821849571, issued on Apr 1, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Broken Arrow, OK. The record was last updated on Apr 1, 2024.