Organization · Type 2 NPI

Pennington Creek Lifehouse

Community/Behavioral Health Agency · Tishomingo, OK

NPI number 1831464304 Active

Practice location

801 E Main St
Tishomingo, OK 73460-2351

Call (580) 371-3799 Map

Fax (580) 371-2056

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1831464304

Pennington Creek Lifehouse's National Provider Identifier is 1831464304, issued on Mar 16, 2012. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Tishomingo, OK. The record was last updated on Mar 16, 2012.