Organization · Type 2 NPI

Pennington Creek Life House

Community/Behavioral Health Agency · Coalgate, OK

NPI number 1922246115 Active

Practice location

8 S Michigan St Ste B
Coalgate, OK 74538-2825

Mailing address

PO Box 261
Fittstown, OK 74842-0261

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X3877 (OK)

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 1922246115

Pennington Creek Life House's National Provider Identifier is 1922246115, issued on Jan 27, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Coalgate, OK. The record was last updated on Jan 27, 2009.