Organization · Type 2 NPI

Phoenix Gate, Inc.

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

NPI number 1962733758 Active

Practice location

32 E Cherokee Ave, Suite 104
Mcalester, OK 74501-5323

Fax (918) 423-9400

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 1962733758

Phoenix Gate, Inc.'s National Provider Identifier is 1962733758, issued on Jan 19, 2010. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Mcalester, OK. The record was last updated on Jan 19, 2010.